Individual
CECELIA ANNITA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
7900 AIRWAYS BLVD, BLDG A, STE 2, SOUTHAVEN, MS 38671-4113
(662) 536-4096
(662) 536-4099
Mailing address
7900 AIRWAYS BLVD, BLDG A, STE 2, SOUTHAVEN, MS 38671-4113
(662) 536-4096
(662) 536-4099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT4256
MS
225100000X
Physical Therapist
PT7658
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0183838
BLUE CROSS PROVIDER NUMBE
TN
Enumeration date
02/27/2007
Last updated
02/25/2008
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