Organization
MID-SOUTH REHABILITATION & RESTORATIVE MEDICINE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN CONDIT MD (OWNER)
(662) 377-1370
Entity
Organization
Contact information
Practice address
609 BRUNSON DR, TUPELO, MS 38801-4948
(662) 377-1370
(662) 377-1379
Mailing address
609 BRUNSON DR, TUPELO, MS 38801-4948
(662) 377-1370
(662) 377-1379
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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