Individual
BRIAN FRILOUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
499 GLOSTER CREEK VLG, SUITE D-1, TUPELO, MS 38801-4600
(662) 690-8007
(662) 842-4653
Mailing address
1114 COMMONWEALTH BLVD, TUPELO, MS 38804-9301
(662) 690-8007
(662) 842-4653
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
15725
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119171
—
MS
Enumeration date
02/24/2006
Last updated
08/15/2017
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