BRELYNN DUBOSE
Individual Provider (NPI-1)
Active
Physician Assistant
Provider Information
- NPI Number
1811602246- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 1225 N STATE ST STE 100, JACKSON, MS, 392022064
- Phone
- (601) 714-6400
- Fax
- (601) 714-6499
Specialties & Taxonomies
Physician Assistant
Primary License: MS #PA01041