Provider Demographics
NPI:1992069470
Name:ANDERSON-BROWN, TEDRA (MD)
Entity type:Individual
Prefix:DR
First Name:TEDRA
Middle Name:
Last Name:ANDERSON-BROWN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:3800 PARAMOUNT PKWY
Mailing Address - Street 2:SUITE 150
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-6949
Mailing Address - Country:US
Mailing Address - Phone:919-674-2463
Mailing Address - Fax:919-379-5576
Practice Address - Street 1:3800 PARAMOUNT PKWY
Practice Address - Street 2:SUITE 150
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-6949
Practice Address - Country:US
Practice Address - Phone:919-674-2463
Practice Address - Fax:919-379-5576
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2012-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC95-004952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry