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Individual

DR. NOHEMIE BREVIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D., FAAP

Contact information

Practice address
818 E SUNFLOWER RD, CLEVELAND, MS 38732-2824
(662) 579-3449
(662) 579-3459
Mailing address
PO BOX 60, CLEVELAND, MS 38732-0060
(662) 579-3449
(662) 579-3469

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
125057385
IL
208000000X
Pediatrics Physician
Primary
23162
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09226861
MS
Enumeration date
02/16/2012
Last updated
02/01/2023
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