MEDICARE: MISS LAURA FITZGERALD BROWNING PA-C

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
1	363A00000X	Physician Assistant

General Provider Information

NPI Number	:	1174814461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS LAURA FITZGERALD BROWNING PA-C

Provider Business Mailing Address
First Line	:	180 WINGO WAY STE 202
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-1811
Country	:	US
Telephone Number	:	843-790-1777
Fax Number	:	843-790-1790

Provider Business Practice Location Address
First Line	:	180 WINGO WAY STE 202
Second Line	:
City	:	MT PLEASANT
State	:	SC
Zip	:	29464-1811
Country	:	US
Telephone Number	:	843-790-1777
Fax Number	:	843-790-1790

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/21/2011
Last Update Date	:	05/14/2019

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