Provider Demographics
NPI:1306874276
Name:BROWN, MICHAEL ASHLEY (MD)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:ASHLEY
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:1088 BROWN AVE
Mailing Address - Street 2:
Mailing Address - City:WAYNESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28786-1918
Mailing Address - Country:US
Mailing Address - Phone:828-456-2828
Mailing Address - Fax:828-456-8903
Practice Address - Street 1:1088 BROWN AVE
Practice Address - Street 2:
Practice Address - City:WAYNESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28786-1918
Practice Address - Country:US
Practice Address - Phone:828-456-2828
Practice Address - Fax:828-456-8903
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC35285207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0102892OtherUNITED HEALTH CARE
NC19187OtherBCBS OF NC
NCC2594OtherMEDCOST
NC7919187Medicaid
NC7919187Medicaid
NC0102892OtherUNITED HEALTH CARE