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NPI Code Detail

MEDICARE: GRAHAM CAMERON BROWN PA-C

MEDICARE: GRAHAM CAMERON BROWN 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
1363A00000XPhysician Assistant0010-08097NC

General Provider Information

NPI Number : 1962906081
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRAHAM CAMERON BROWN PA-C
Provider Business Mailing Address
First Line : 6727 PARKER FARM DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28405-3176
Country : US
Telephone Number : 910-341-3300
Fax Number : 910-251-2067
Provider Business Practice Location Address
First Line : 6727 PARKER FARM DR
Second Line :
City : WILMINGTON
State : NC
Zip : 28405-3176
Country : US
Telephone Number : 910-341-3300
Fax Number : 910-251-2067
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2018
Last Update Date : 09/16/2020

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Directions to “ GRAHAM CAMERON BROWN PA-C” Practice Location

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