Individual
DOUGLAS E BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RT
Contact information
Practice address
1855 LAKELAND DR, SUITE J10, JACKSON, MS 39216-4913
(601) 987-9425
(601) 987-0093
Mailing address
1855 LAKELAND DR, SUITE G10, JACKSON, MS 39216-4913
(601) 987-9729
(601) 987-0093
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
MRT1971
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03423284
—
MS
Enumeration date
09/24/2007
Last updated
12/20/2012
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