WILLIAM MARTIN BRACKEN

DE KALB, MS
NPI1417969031
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MS  15288)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: MS  15288)
Enumeration Date2006-08-12
Last Update Date2013-11-09
Business Address
-- WILLIAM MARTIN BRACKEN DO
14365 HIGHWAY 16 W
DE KALB, MS 39328-7974
Phone number: 601-743-4626
Mailing Address
-- WILLIAM MARTIN BRACKEN DO
1314 19TH AVE
MERIDIAN, MS 39301-4116
Phone number: 601-703-4282
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