Individual
CLYDE BROWN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
306 CARR MEADOW DR, RIDGELAND, MS 39157-1821
(601) 291-6576
Mailing address
306 CARR MEADOW DR, RIDGELAND, MS 39157-1821
(601) 291-6576
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
802049034
MS
Other
Enumeration date
08/08/2023
Last updated
08/08/2023
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