Individual
MR. THOMAS CHANDLER BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3437 TUPELO COMMONS, SUITE 102, TUPELO, MS 38804-9791
(662) 680-3200
(662) 680-5090
Mailing address
206B OXFORD RD, NEW ALBANY, MS 38652-3115
(662) 534-4445
(662) 534-9449
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT3177
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00138736
—
MS
01
—
582681044
TAX ID #
MS
Enumeration date
11/29/2006
Last updated
03/26/2009
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