Organization
TRACE MEDICAL CLINIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT G BROWNING MD (PRESIDENT)
(662) 289-9155
Entity
Organization
Contact information
Practice address
530 VETERANS MEMORIAL DR, KOSCIUSKO, MS 39090-3858
(662) 289-9155
(662) 289-7752
Mailing address
530 VETERANS MEMORIAL DR, KOSCIUSKO, MS 39090-3858
(662) 289-9155
(662) 289-7752
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/10/2010
Last updated
12/10/2010
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