Mary Tison Brown in Jackson - General Practice
Mary Tison Brown - NPI 1164559407
Mary Tison Brown is a General Practice in Jackson, Mississippi. Mary Tison Brown practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mary Tison Brown is 1164559407. The last update date is 2007-07-08.
Mary Tison Brown's current location address is 2525 Lakeward Dr Ste 102, Jackson, Mississippi. You can contact this provider via phone number 6019827212 and fax number 6019812362. The mailing address for Mary Tison Brown is 2525 Lakeward Dr Ste 102, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Tison Brown |
|---|---|
| Address | 2525 Lakeward Dr Ste 102, Jackson, Mississippi |
| Phone Number | 6019827212 |
| Fax Number | 6019812362 |
| Sole Proprietor | Y |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1164559407 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2525 Lakeward Dr Ste 102 |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164827 |
| Phone Number | 6019827212 |
| Fax Number | 6019812362 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3183-01 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Mary Tison Brown by the Centers for Medicare & Medicaid Services?
The Mary Tison Brown has been issued the NPI (National Provider Identifier) 1164559407 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Mary Tison Brown is physically located?
The Mary Tison Brown is situated at the following address: 2525 Lakeward Dr Ste 102, Jackson, MS 392164827.
What is Mary Tison Brown's area of expertise and its corresponding taxonomy classification?
The Mary Tison Brown's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mary Tison Brown receive the assignment of its 1164559407 from the Centers for Medicare & Medicaid Services?
The Mary Tison Brown was issued its 1164559407 by the Centers for Medicare & Medicaid Services on 2007-02-27.
As of what date were the details pertaining to Mary Tison Brown last refreshed?
The information related to the Mary Tison Brown, including its address, specialty, and other relevant details, was last updated on 2007-07-08.