Healthcare Provider Details

I. General information

NPI: 1619180668
Provider Name (Legal Business Name): RASHANDA N BROWN DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/07/2007
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

410 UNIVERSITY PKWY STE 1550A
AIKEN SC
29801-6810
US

IV. Provider business mailing address

410 UNIVERSITY PKWY STE 1550A
AIKEN SC
29801-6810
US

V. Phone/Fax

Practice location:
  • Phone: 803-306-7733
  • Fax: 803-716-7456
Mailing address:
  • Phone: 803-306-7733
  • Fax: 803-716-7456

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number5101016061
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberDO96783
License Number StateSC
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0150808
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: