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NPI Code Detail

MEDICARE: TINAIJA BROWN

MEDICARE: TINAIJA 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
1104100000XSocial WorkerP014610NC

General Provider Information

NPI Number : 1760342695
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINAIJA BROWN
Provider Business Mailing Address
First Line : 3506 W TYVOLA RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-7201
Country : US
Telephone Number : 704-329-1300
Fax Number :
Provider Business Practice Location Address
First Line : 3506 W TYVOLA RD
Second Line :
City : CHARLOTTE
State : NC
Zip : 28208-7201
Country : US
Telephone Number : 704-329-1300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/13/2025
Last Update Date : 04/13/2026

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Directions to “ TINAIJA BROWN ” Practice Location

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