Brown, Dejuania Angela

Brown, Dejuania Angela is an individual health care provider with primary practice located at 8121 Rourk St , Myrtle Beach SC 29572-4128. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Brown, Dejuania Angela can be contacted via phone (843) 692-5000.

Contact Information

Primary practice address
8121 Rourk St Myrtle Beach SC 29572-4128
Phone: (843) 692-5000
Fax: (843) 692-5010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 02003532A Indiana

Profile Details

NPI number 1730379132
LBN Legal business name Brown, Dejuania Angela
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2007
Last updated Jan 12th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730379132 NPPES
Indiana MEDICAID 200954550
Indiana Other P01014243

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