Individual
DR. MARY TISON BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
261 TRACE COLONY PARK DRIVE, SUITE A, RIDGELAND, MS 39157-4827
(601) 982-7212
(601) 981-2362
Mailing address
261 TRACE COLONY PARK DRIVE, SUITE A, RIDGELAND, MS 39157-4827
(601) 982-7212
(601) 981-2362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
318301
MS
Other
Enumeration date
02/27/2007
Last updated
08/14/2024
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