Individual
MRS. MADISON AVARA BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3109 BIENVILLE BLVD, OCEAN SPRINGS, MS 39564-4361
(228) 875-3778
Mailing address
2101 HIGHWAY 90, GAUTIER, MS 39553-5340
(228) 497-7576
(228) 497-8869
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00287
MS
363A00000X
Physician Assistant
PA1161
AL
363AM0700X
Medical Physician Assistant
PA00287
MS
363AM0700X
Medical Physician Assistant
PA1161
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02227801
—
MS
Enumeration date
04/25/2016
Last updated
05/02/2022
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