Individual
DR. THOMAS KEVIN BRASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 SUNSET DR STE B, GRENADA, MS 38901-4005
(662) 226-2030
(662) 227-1236
Mailing address
1321 SUNSET DR STE B, GRENADA, MS 38901-4005
(662) 226-2030
(662) 227-1236
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
13510
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00112536
—
MS
Enumeration date
04/24/2006
Last updated
06/21/2024
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