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NPI Code Detail

MEDICARE: DR. TIMOTHY G BROWN

MEDICARE:  DR. TIMOTHY G 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
1122300000XDentistDS4326TN

General Provider Information

NPI Number : 1578698106
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY G BROWN
Provider Business Mailing Address
First Line : 116 E FORT ST
Second Line :
City : MANCHESTER
State : TN
Zip : 37355-1509
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 116 E FORT ST
Second Line :
City : MANCHESTER
State : TN
Zip : 37355-1509
Country : US
Telephone Number : 931-728-3861
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/23/2007
Last Update Date : 07/08/2007

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Directions to “ DR. TIMOTHY G BROWN ” Practice Location

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