Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | C51316 | MD |
Y | 222Z00000X | Podiatrist | C51316 | MD |
NPI | 1003200478 |
---|---|
Provider Name | Kareem Brown |
First Address | Greenville, NC 27834-7268 |
Second Address | Greenville, NC 27834-7268 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/03/2015 |
Last Update Date | 24/03/2015 |