Individual
DR. JONATHAN DWAINE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1720A MEDICAL PARK DR STE 220, BILOXI, MS 39532-2127
(228) 230-2663
(228) 546-3257
Mailing address
6300 EAST LAKE BLVD., SUITE 301, VANCLEAVE, MS 39565-6771
(228) 230-2663
(228) 546-3257
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
24921
MS
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
24921
MS
Other
Enumeration date
06/15/2011
Last updated
09/12/2018
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