34D2062047 CLIA NUMBER - MONIQUE BROWN MD, PC

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Laboratory Demographics

CLIA Number: 34D2062047

Facility Name: MONIQUE BROWN MD, PC

Facility Address:
154 SW MAIN STREET
ROCKY MOUNT, NC
ZIP 27804
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Facility Phone Number: 252 937-3022

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1336289636

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	34D2062047
LAB Type	Physician Office
Facility Name	MONIQUE BROWN MD, PC
Street	154 SW MAIN STREET
City	ROCKY MOUNT
State	NC
ZIP	27804
Phone	252 937-3022
CertificateType	4
CertificateEffectiveDate	7/10/2023
CertificateExpirationDate	7/9/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024