NPI 1063805778

Latoya Braylock

Practitioner Orthopaedic Surgery Physician Jackson, MS

Practice location

Address: 2500 N State St, Jackson, MS 39216-4500
Phone: (601) 984-6525
Mailing address: 440 E Woodrow Wilson Ave, Jackson, MS 39216-4526

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 000000000 (MS)

Other Orthopaedic Surgery providers in Mississippi →

Registry record

NPI: 1063805778
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Mar 2015
Record last updated: 5 Mar 2015

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.