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NPI 1003928672

OrganizationActive

Brookhaven Children'S Clinic

NPI 1003928672 · Pediatrics Physician · Brookhaven, MS

Provider details

NPI number: 1003928672
Entity type: Organization
Primary specialty: Pediatrics PhysicianAllopathic & Osteopathic Physicians
Authorized official: Charles Holland, Owner
License: 11043 (MS)

Practice location

624 Highway 51 N

Brookhaven, MS 39601-2337

Phone: (601) 835-2100

Fax: (601) 835-0451

More MS providers

Mailing address

624 Highway 51 N

Brookhaven, MS 39601-2337

Registry dates

Enumerated: 2006-08-31
Last updated: 2020-08-22

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Brookhaven Children'S Clinic — NPI 1003928672, Brookhaven, MS | NPI Central