Provider Demographics
NPI:1588900955
Name:ALYCIA M BROWN, MD PA
Entity type:Organization
Organization Name:ALYCIA M BROWN, MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOANNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:EURE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-662-8185
Mailing Address - Street 1:845 S MAIN ST
Mailing Address - Street 2:SUITE 202
Mailing Address - City:GRAHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27253-3734
Mailing Address - Country:US
Mailing Address - Phone:336-222-0095
Mailing Address - Fax:336-228-0703
Practice Address - Street 1:845 S MAIN ST
Practice Address - Street 2:SUITE 202
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-3734
Practice Address - Country:US
Practice Address - Phone:336-222-0095
Practice Address - Fax:336-228-0703
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-12
Last Update Date:2012-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC887542084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty