Individual
MAYLEN MUSGROVE BRADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1706 W 10TH ST, LAUREL, MS 39440-2557
(601) 554-7400
(601) 554-7499
Mailing address
3688 VETERANS MEMORIAL DR STE 200, HATTIESBURG, MS 39401-8246
(601) 554-7400
(601) 554-7499
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00354
MS
Other
Enumeration date
01/15/2018
Last updated
04/09/2026
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