Healthcare Provider Details

I. General information

NPI: 1487603809
Provider Name (Legal Business Name): NOEL ANDERSON BROWNLEE M.D., PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 08/29/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 MEMORIAL MEDICAL CT SUITE 1
GREENVILLE SC
29605-4449
US

IV. Provider business mailing address

PO BOX 9280
GREENVILLE SC
29604-9280
US

V. Phone/Fax

Practice location:
  • Phone: 864-295-3492
  • Fax: 864-295-4817
Mailing address:
  • Phone: 864-255-1048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number30325
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: