Individual
BATHSHEBA BROWN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
760 BROOKMAN DR EXT, BROOKHAVEN, MS 39601-2340
(601) 823-5700
Mailing address
13022 MONTICELLO RD, HAZLEHURST, MS 39083-9108
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
856497
MS
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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