MEDICARE: DR. JULIAN ARTHUR BROWN JR. M. D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	09929	MS

General Provider Information

NPI Number	:	1073578043
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIAN ARTHUR BROWN JR. M. D.

Provider Business Mailing Address
First Line	:	401 S CHESTNUT ST
Second Line	:
City	:	ABERDEEN
State	:	MS
Zip	:	39730-3334
Country	:	US
Telephone Number	:	662-369-6977
Fax Number	:	662-369-6979

Provider Business Practice Location Address
First Line	:	401 S CHESTNUT ST
Second Line	:
City	:	ABERDEEN
State	:	MS
Zip	:	39730-3334
Country	:	US
Telephone Number	:	662-369-6977
Fax Number	:	662-369-6979

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2006
Last Update Date	:	12/07/2009

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