Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 213E00000X | Podiatrist | 562 | NC |
N | 222Z00000X | Podiatrist | 562 | NC |
N | 213EP1101X | Primary Podiatric Medicine | 562 | NC |
Y | 213ES0103X | Foot & Ankle Surgery | 562 | NC |
N | 213ES0131X | Foot Surgery | 562 | NC |
NPI | 1285863852 |
---|---|
Provider Name | Dr. Millicent Brown |
First Address | Durham, NC 27717-1364 |
Second Address | Oxford, NC 27565-2581 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/07/2009 |
Last Update Date | 28/09/2018 |