Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 938 | WV |
Y | 207Q00000X | Family Doctor | 938 | WV |
NPI | 1114921749 |
---|---|
Provider Name | William M Browning JR. |
First Address | Williamsburg, WV 24991-0010 |
Second Address | Hillsboro, WV 24946 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/06/2005 |
Last Update Date | 02/08/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0050908000 | (05) | WV |
51-1928 | MEDICARE (01) | WV |
E79852 | (02) |