Healthcare Provider Details

I. General information

NPI: 1265588131
Provider Name (Legal Business Name): DANA RENE' BROWN D.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/25/2007
Last Update Date: 08/03/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1457 W EVANS ST
FLORENCE SC
29501-3390
US

IV. Provider business mailing address

4 BAYSWATER RD 13 KINGS ROAD
QUINBY SC
29506-7400
US

V. Phone/Fax

Practice location:
  • Phone: 843-292-9873
  • Fax: 843-292-9875
Mailing address:
  • Phone: 843-292-9873
  • Fax: 843-292-9875

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number2856
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: