DR. ANNETTE RENAE CLARK-BROWN (NPI# 1790889178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790889178 |
| Entity Type | Individual |
| Full Name | DR. ANNETTE RENAE CLARK-BROWN |
| Credential | M.D. |
| Practice Address |
4500 Stuart Street Usa Meddac Fort Jackson SC 29207 |
| Mailing Address |
4500 Stuart Street Moncrief Army Community Hospital Family Health Center Fort Jackson SC 29207-5000 |
| Practice Telephone | 8037512234 |
| Mailing Telephone | 8037512553 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2011-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 27523 | SC | Allopathic & Osteopathic Physicians |
| Street Address |
4500 STUART STREET USA MEDDAC |
| City | FORT JACKSON |
| State | SC |
| Zip Code | 29207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699741447 | Angela Robinson | Nurse Anesthetist, Certified Registered | 4500 Stuart Street, Moncrief Army Community Hospital, Fort Jackson, SC 29207-5700 | 2006-02-23 |
| 1598854507 | Thaddeus Paul Ozimek | Psychiatric Unit | 4500 Stuart Street, Moncrief Army Community Hospital, Fort Jackson, SC 29207-5720 | 2006-10-11 |
| 1699863175 | Clem Donald Mcduffie | Optometrist | 4500 Stuart Street, Mach, Attn: Mcxl-pq (credentials), Fort Jackson, SC 29207-5720 | 2006-10-10 |
| 1013004829 | James P Burns | Occupational Therapist | 4500 Stuart Street, Moncrief Army Community Hospital/credentials, Fort Jackson, SC 29207-5720 | 2006-10-05 |
| 1568556157 | Larry Kenneth Andreo | Ophthalmology | 4500 Stuart Street, Moncrief Army Community Hospital, Attn: Mcxl-pq (crede, Fort Jackson, SC 29207-5720 | 2006-10-03 |
| 1255422184 | Martha Monson Sribnick | Pediatrics | 4500 Stuart Street, Moncrief Army Community Hosptial/credentials, Fort Jackson, SC 29207-5720 | 2006-09-27 |
| 1639270630 | Chad Eric Gosnell | Optometrist | 4500 Stuart Street, Moncrief Army Community Hospital/credentials, Fort Jackson, SC 29207-5720 | 2006-09-25 |
| 1801993282 | Julie Clare | Nurse Practitioner | 4500 Stuart Street, Moncrief Army Hosital Attn: Mcxl-pq (credentials), Fort Jackson, SC 29207-5720 | 2006-09-20 |
| 1518064930 | Jeffrey Earl Trigg | Physician Assistant | 4500 Stuart Street, Moncrief Army Community Hospital, Fort Jackson, SC 29207-5720 | 2006-09-20 |
| 1558469692 | Mandy Shealey Poston | Pharmacist | 4500 Stuart Street, Moncrief Army Community Hospital/credentials, Fort Jackson, SC 29207-5720 | 2006-09-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265043756 | Steven Mariani Rodriguez | Dentist | 5330 Moseby Street, Columbia, SC 29207 | 2020-08-10 |
| 1568082493 | Nichole Eckrich | Dentist | 5330 Moseby St., Columbia, SC 29207 | 2020-04-21 |
| 1730733007 | Forrest Wane Fullenkamp | Student in an Organized Health Care Education/Training Program | 5330 Moseby St, Columbia, SC 29207 | 2019-07-25 |
| 1306401625 | Kayla Anne Wolcott | Pharmacist | Moncrief Army Hospital Outpatient Pharmacy 1 Ft Jackson, Columbia, SC 29207 | 2019-05-02 |
| 1588145098 | Renetta Denise Green | Counselor | Fort Jackson/acs 9810 Lee St, Columbia, SC 29207 | 2018-08-23 |
| 1154814028 | Amanda Zelnick | Dentist | Bldg 5330 Moseby St, Ft Jackson, NC 29207 | 2018-06-14 |
| 1790231777 | Brittaney Elizabeth Anne Lewelling | Specialist/Technologist | 5975 Chesnut Road, Columbia, SC 29207 | 2016-08-30 |
| 1376749838 | Moncrief Army Community Hospital | Clinic/Center | 5330 Mosby Street, Fort Jackson, SC 29207 | 2007-06-22 |
| 1902002462 | Moncrief Army Community Hospital | Clinic/Center | 1890 Washington Road, Fort Jackson, SC 29207 | 2007-06-22 |
| 1730279860 | Donna L Briquet | Pharmacist | 4500 Marion Street, Columbia, SC 29207 | 2006-10-12 |
| Find all providers in zip 29207 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1063024578 | Beaufort County Memorial Hospital | Family Medicine | Beaufort Memorial Preoperative Assessment Clinic, 989 Ribaut Road Suite 370, Beaufort, SC 29902 | 2020-08-18 |
| 1841801149 | Palmetto Primary Care Physicians, LLC | Family Medicine | 1200 Two Island Ct Unit E, Mt Pleasant, SC 29466-7418 | 2020-08-11 |
| 1922617950 | Fred E Hill | Family Medicine | 1033 Jervey Point Rd, Charleston, SC 29492-8372 | 2020-07-27 |
| Find all providers with the same taxonomy | ||||
| City | FORT JACKSON |
| Zip Code | 29207 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.