Provider Demographics
NPI:1992309397
Name:BROWN, KATIE E (DC)
Entity type:Individual
Prefix:DR
First Name:KATIE
Middle Name:E
Last Name:BROWN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6534
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29606-6534
Mailing Address - Country:US
Mailing Address - Phone:864-501-2360
Mailing Address - Fax:
Practice Address - Street 1:922 N CHURCH ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29601-1607
Practice Address - Country:US
Practice Address - Phone:864-501-2360
Practice Address - Fax:864-272-3469
Is Sole Proprietor?:No
Enumeration Date:2020-11-25
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4601111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor