Connie Yvonne Brown
Individual provider Active NPI Driver · Charlotte, NC
NPI 1316664931 · NPPES record last updated Oct 24, 2022
Key facts
- NPI
- 1316664931
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Driver 172A00000X
- Practice address
- 4822 Albemarle Rd Ste 101M
Charlotte, NC 28205-6630 - Phone
- (704) 793-7668
- Fax
- (704) 817-8891
- NPI assigned
- Oct 24, 2022
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | Yes |
Addresses
Primary practice location
4822 Albemarle Rd Ste 101M
Charlotte, NC 28205-6630
Mailing address
4822 Albemarle Rd Ste 101M
Charlotte, NC 28205-6630
Phone (704) 793-7668
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 86-1109510 | Other | NC | TRANSPORTATION COMPANY |
| 861109510 | Other | NC | KINGDOM TRANSPORTATION |
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.