Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0007X | Plastic Surgeon (Head & Neck) | 27432 | NC |
NPI | 1821072893 |
---|---|
Provider Name | James Dale Browne |
First Address | Winston Salem, NC 27102-0344 |
Second Address | Winston Salem, NC 27157-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/12/2005 |
Last Update Date | 19/08/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
19209 | BCBS (01) | |
220374000 | (05) | WV |
3703 | PARTNERS (01) | |
40016965 | RR MEDICARE (01) | |
42445 | MEDCOST (01) | |
5661030 | AETNA (01) | |
6520286 | (05) | VA |
8919209 | (05) | NC |
E76852 | (02) | |
Q27432 | (05) | SC |