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Organization

BROWN FAMILY RETINA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CALVIN CHRISTOPHER BROWN MD (SURGEON)
(662) 782-5404
Entity
Organization

Contact information

Practice address
6760 GOODMAN RD STE 125, OLIVE BRANCH, MS 38654-9893
(662) 782-5404
(662) 405-0345
Mailing address
6760 GOODMAN RD STE 125, OLIVE BRANCH, MS 38654-9893
(662) 782-5404
(662) 405-0345

Taxonomy

Speciality
Code
Description
License number
State
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
261QM2500X
Medical Specialty Clinic/Center
261QS0132X
Ophthalmologic Surgery Clinic/Center

Other

Enumeration date
01/28/2025
Last updated
02/13/2025
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