| Elizabeth L. Brown, Md, Pllc | |
|
4607 Maccorkle Ave Sw Suite Mp200 South Charleston WV 25309-1364 | |
| (304) 767-7810 | |
| Not Available |
| Full Name | Elizabeth L. Brown, Md, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4607 Maccorkle Ave Sw, South Charleston, West Virginia |
| Authorized Official Name and Position | Shannon G Sypolt (OFFICE MANAGER) |
| Authorized Official Contact | 3047677810 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth L. Brown, Md, Pllc 4607 Maccorkle Ave Sw Suite Mp200 South Charleston WV 25309-1364 Ph: (304) 767-7810 | Elizabeth L. Brown, Md, Pllc 4607 Maccorkle Ave Sw Suite Mp200 South Charleston WV 25309-1364 Ph: (304) 767-7810 |
| NPI Number | 1265650592 |
|---|---|
| Provider Enumeration Date | 04/23/2007 |
| Last Update Date | 10/02/2007 |
| Medicare PECOS PAC ID | 8729067798 |
|---|---|
| Medicare Enrollment ID | O20040714001518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265650592 | NPI | - | NPPES |
| 1803923000 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20430 (West Virginia) | Primary |
| Provider Name | Elizabeth C Brown |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801848197 PECOS PAC ID: 5597744466 Enrollment ID: I20040715000250 |
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