Provider Demographics
NPI:1730522574
Name:BROWN, ROBIN GARRETT (LPN)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:GARRETT
Last Name:BROWN
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 158
Mailing Address - Street 2:DIXIE HIGH SCHOOL
Mailing Address - City:DUE WEST
Mailing Address - State:SC
Mailing Address - Zip Code:29639-0158
Mailing Address - Country:US
Mailing Address - Phone:864-379-2186
Mailing Address - Fax:864-379-8187
Practice Address - Street 1:1 HAYNES ST.
Practice Address - Street 2:
Practice Address - City:DUE WEST
Practice Address - State:SC
Practice Address - Zip Code:29639-0158
Practice Address - Country:US
Practice Address - Phone:864-379-2186
Practice Address - Fax:864-379-8187
Is Sole Proprietor?:No
Enumeration Date:2013-04-11
Last Update Date:2013-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCP 17084164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse