MEDICARE: PAMELA 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
1	1041C0700X	Clinical Social Worker	10279	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427399344
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAMELA BROWN

Provider Business Mailing Address
First Line	:	2407 JAMES ST APT 107
Second Line	:
City	:	CONWAY
State	:	SC
Zip	:	29527-5660
Country	:	US
Telephone Number	:	843-516-6757
Fax Number	:

Provider Business Practice Location Address
First Line	:	206 GEORGE BISHOP PKWY UNIT C
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579-7465
Country	:	US
Telephone Number	:	843-516-6757
Fax Number	:

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

Provider Enumeration Date	:	03/04/2013
Last Update Date	:	03/19/2024

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Directions to “ PAMELA BROWN ” Practice Location

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