Individual
BRIAN EDWIN CONDIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
609 BRUNSON DR, TUPELO, MS 38801-4948
(662) 377-1370
(662) 377-1379
Mailing address
609 BRUNSON DR, TUPELO, MS 38801-4948
(662) 377-1370
(662) 377-1379
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
18458
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08224074
—
MS
Enumeration date
05/28/2006
Last updated
04/30/2019
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