Healthcare Provider Details

I. General information

NPI: 1396185765
Provider Name (Legal Business Name): JOHN BROWNING M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2013
Last Update Date: 09/28/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

764 LAKELAND DR
JACKSON MS
39216-4651
US

IV. Provider business mailing address

92 RATLIFF ST STE A
LUCEDALE MS
39452-6537
US

V. Phone/Fax

Practice location:
  • Phone: 601-984-6800
  • Fax: 601-984-6811
Mailing address:
  • Phone: 601-984-6800
  • Fax: 601-984-6811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number23688
License Number StateMS
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberT-2649
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number23688
License Number StateMS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: