Individual
DR. WOODROW WILSON BRAND III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
806 EARL FRYE BLVD, AMORY, MS 38821
(662) 256-8479
(662) 256-1177
Mailing address
10996 FOUR SEASONS PL, STE 100A, CROWN POINT, IN 46307-8685
(662) 256-8479
(662) 256-1177
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
12093
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009306530
—
AL
05
—
0111887
—
MS
Enumeration date
10/18/2006
Last updated
04/01/2019
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