Individual ProviderLouise J BrazeeFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address135 W Ravine Rd, Suite 5a, Kingsport, TN 37660-3847(423) 224-3760(423) 224-3250PECOS EnrollmentBased on the most recent information from CMS, provider Louise J Brazee does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 4:18 PM.Profile DetailsProvider ID1275585952Provider TypeIndividualFull NameBrazee, Louise JTitleDr.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date5/17/2006Last Updated3/5/2008Contact InformationPractice LocationPractice Address135 W Ravine Rd, Suite 5a, Kingsport, TN 37660-3847Phone(423) 224-3760Fax(423) 224-3780Mailing LocationMailing Address999 Executive Park Blvd, Suite 201, Kingsport, TN 37660-4632Phone(423) 224-3250Fax(423) 224-3258Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense10429Tennessee