Basic Information
Provider Information
NPI: 1891155867
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BROWN
FirstName: BRITTNEY
MiddleName: JOELLE
NamePrefix: DR.
NameSuffix:  
Credential: D,O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 415 S 28TH AVE
Address2:  
City: HATTIESBURG
State: MS
PostalCode: 394017246
CountryCode: US
TelephoneNumber: 6012685640
FaxNumber: 6015795240
Practice Location
Address1: 421 S 28TH AVE STE 200
Address2:  
City: HATTIESBURG
State: MS
PostalCode: 394017208
CountryCode: US
TelephoneNumber: 6012685640
FaxNumber: 6012613507
Other Information
ProviderEnumerationDate: 03/03/2016
LastUpdateDate: 08/27/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 08/27/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207VX0000X27909MSY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics

No ID Information.


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