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NPI Code Detail

MEDICARE: JOEY VICTOR BROWN

MEDICARE: JOEY VICTOR BROWN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1063371821
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOEY VICTOR BROWN
Provider Business Mailing Address
First Line : 9405 HIGHWAY 17 BYP
Second Line :
City : MURRELLS INLET
State : SC
Zip : 29576-9301
Country : US
Telephone Number : 843-385-2318
Fax Number :
Provider Business Practice Location Address
First Line : 9405 HIGHWAY 17 BYP
Second Line :
City : MURRELLS INLET
State : SC
Zip : 29576-9301
Country : US
Telephone Number : 843-385-2318
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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