# HOLBROOK FAMILY MEDICAL PRACTICE, INC.

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

## Provider details

- **NPI number:** 1760526990
- **Authorized official:** CHIP D HOLBROOK MD (OWNER)
- **Authorized official phone:** (601) 847-3712

## Contact information

- **Practice address:** 102 OAK ST, MENDENHALL, MS 39114-3650
- **Practice address phone:** (601) 847-3712
- **Mailing address:** 102 OAK ST, MENDENHALL, MS 39114-3650
- **Mailing address phone:** (601) 847-3712

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 14412 | MS | Yes |

## Other

- **Enumeration date:** 02/19/2007
- **Last updated:** 04/08/2011