Organization
TUTWILER CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE E BROOKS DO (MEDICAL DIRECTOR TUTWILER CLINIC IN)
(662) 345-8334
Entity
Organization
Contact information
Practice address
205 ALMA ST, TUTWILER, MS 38963-0462
(662) 345-8334
(662) 345-8336
Mailing address
205 ALMA ST, PO BOX 462, TUTWILER, MS 38963
(662) 345-8334
(662) 345-8336
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
10092
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09014072
—
MS
Enumeration date
08/31/2006
Last updated
04/30/2012
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