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MAYLEN MUSGROVE BRADY PA-C

Individual Provider (NPI-1) Active

Physician Assistant

Provider Information

NPI Number
1871001685
Provider Type
Individual Provider (NPI-1)
Credentials
PA-C
Status
Active

Contact & Location

Address
1706 W 10TH ST, LAUREL, MS, 394402557
Phone
(601) 554-7400
Fax
(601) 554-7499

Specialties & Taxonomies

Physician Assistant Primary License: MS #PA00354

All Addresses

MAILING

3688 VETERANS MEMORIAL DR STE 200

HATTIESBURG, MS, 394018246

(601) 554-7400

LOCATION

1706 W 10TH ST

LAUREL, MS, 394402557

(601) 554-7400