Type | Legal entity | [sources] | |||
---|---|---|---|---|---|
Name | Brown, Tammy | [sources] | |||
Legal form | not available | [sources] | |||
Country | United States | [sources] | |||
NPI | 1689743726 | [sources] | |||
Sector | Nurse Practitioner | [sources] | |||
Status | not available | [sources] | |||
Address | 1997 Medicial Park Drive Greenville, MS 38703 | [sources] | |||
Last change | Last processed | First seen |
Service providers who have been terminated for cause from Mississippi's Medicaid program.
United States · Mississippi Division of Medicaid
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