Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223G0001X | General Practice | 0401006776 | VA |
Y | 213EG0000X | General Practice | 0401006776 | VA |
NPI | 1003909938 |
---|---|
Provider Name | Dr. Winston Melville Browne III |
First Address | Boykins, VA 23827 |
Second Address | Boykins, VA 23827 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/10/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
043488 | ANTHEM (01) |