Individual
BRIAN WILLIAM CONDIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-4394
Mailing address
4626 BUTLER RD, TUPELO, MS 38801-7973
(662) 397-5291
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
901962
MS
Other
Enumeration date
11/01/2021
Last updated
02/11/2025
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