# TRACE MEDICAL CLINIC, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376846469
- **Authorized official:** DR. ROBERT G BROWNING MD (PRESIDENT)
- **Authorized official phone:** (662) 289-9155

## Contact information

- **Practice address:** 530 VETERANS MEMORIAL DR, KOSCIUSKO, MS 39090-3858
- **Practice address phone:** (662) 289-9155
- **Practice address fax:** (662) 289-7752
- **Mailing address:** 530 VETERANS MEMORIAL DR, KOSCIUSKO, MS 39090-3858
- **Mailing address phone:** (662) 289-9155
- **Mailing address fax:** (662) 289-7752

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/10/2010
- **Last updated:** 12/10/2010