Provider Demographics
NPI:1649452509
Name:BROWN, EARL JOSEPH (MD)
Entity type:Individual
Prefix:
First Name:EARL
Middle Name:JOSEPH
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:ETSU QUILLEN COLLEGE OF MEDICINE
Mailing Address - Street 2:PO BOX 70568
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37614-0568
Mailing Address - Country:US
Mailing Address - Phone:423-439-6210
Mailing Address - Fax:423-439-8060
Practice Address - Street 1:DOGWOOD LANE
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY VAMC BDG 1 RM B-30
Practice Address - City:MOUNTAIN HOME
Practice Address - State:TN
Practice Address - Zip Code:37684
Practice Address - Country:US
Practice Address - Phone:423-439-6210
Practice Address - Fax:423-439-8060
Is Sole Proprietor?:No
Enumeration Date:2007-12-03
Last Update Date:2007-12-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TNMD0000017995207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology