NPI 1699754572

Brett Bienville Tisdale, MD

Practitioner Emergency Medicine Physician McComb, MS

Practice location

Address: 1017 Delaware Ave, McComb, MS 39648-3827
Phone: (601) 250-1122
Fax: (601) 250-0290

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 13987 (MS)

Other Emergency Medicine providers in Mississippi →

Registry record

NPI: 1699754572
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jan 2006
Record last updated: 16 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.