NPI 1003928672

Brookhaven Children's Clinic

Organisation Pediatrics Physician Brookhaven, MS

Practice location

Address: 624 Highway 51 N, Brookhaven, MS 39601-2337
Phone: (601) 835-2100
Fax: (601) 835-0451

Authorised official

Name: Charles M Holland
Title: Owner
Phone: (601) 835-2100

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 11043 (MS)

Other Pediatrics providers in Mississippi →

Registry record

NPI: 1003928672
Entity type: Organization
NPI issued: 31 Aug 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.