Provider Demographics
NPI:1457967309
Name:BROWN, LAYLA J
Entity type:Individual
Prefix:
First Name:LAYLA
Middle Name:J
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6231 GRAHAM RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT OLIVE
Mailing Address - State:AL
Mailing Address - Zip Code:35117-3828
Mailing Address - Country:US
Mailing Address - Phone:205-601-5860
Mailing Address - Fax:
Practice Address - Street 1:6231 GRAHAM RD
Practice Address - Street 2:
Practice Address - City:MOUNT OLIVE
Practice Address - State:AL
Practice Address - Zip Code:35117-3828
Practice Address - Country:US
Practice Address - Phone:205-601-5860
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0004176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife