Individual
BRANDON MIZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
114 MONUMENT PL STE A, VICKSBURG, MS 39180-5169
(601) 738-5075
(601) 738-5197
Mailing address
114 MONUMENT PL STE A, VICKSBURG, MS 39180-5169
(601) 738-5075
(601) 898-7577
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
26789
MS
207Q00000X
Family Medicine Physician
Primary
26789
MS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2016
Last updated
02/12/2026
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