Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VG0400X | Gynecologist | 030967 | GA |
N | 207VG0400X | Gynecologist | 11502 | SC |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 030967 | GA |
Y | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | 11502 | SC |
N | 207VX0000X | Obstetrician | 030967 | GA |
N | 207VX0000X | Obstetrician | 11502 | SC |
NPI | 1366496465 |
---|---|
Provider Name | Dr. Paul Christopher Browne |
First Address | West Columbia, SC 29171-6069 |
Second Address | West Columbia, SC 29169-4800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2006 |
Last Update Date | 20/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000371467D | (05) | GA |
030967 | MEDICAL LICENSE (01) | GA |
11502 | SC MEDICAL LICENSE (01) | |
115020 | (05) | SC |
C83009 | (02) | GA |