BRENT ANDREW TREADWAY

JACKSON, MS
NPI1235692302
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MS  28669)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-07
Last Update Date2021-06-03
Business Address
Dr. BRENT ANDREW TREADWAY MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 610-984-1000
Mailing Address
Dr. BRENT ANDREW TREADWAY MD
200 CORPORATE BLVD
LAFAYETTE, LA 70508-3870
Phone number: 800-893-9698