Provider Demographics
NPI:1427254481
Name:BROWN, SARA JOCELYN (PA-C)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:JOCELYN
Last Name:BROWN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16600 BIRKDALE COMMONS PKWY
Mailing Address - Street 2:SUITE E
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-6181
Mailing Address - Country:US
Mailing Address - Phone:704-896-8680
Mailing Address - Fax:704-896-8670
Practice Address - Street 1:16600 BIRKDALE COMMONS PKWY
Practice Address - Street 2:SUITE E
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6181
Practice Address - Country:US
Practice Address - Phone:704-896-8680
Practice Address - Fax:704-896-8780
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2014-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC102788207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine