Braswell, Thomas Kevin

Braswell, Thomas Kevin is an individual health care provider with primary practice located at 1321 Sunset Dr Ste B , Grenada MS 38901-4005. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Braswell, Thomas Kevin can be contacted via phone (662) 226-2030.

Contact Information

Primary practice address
1321 Sunset Dr Ste B Grenada MS 38901-4005
Phone: (662) 226-2030
Fax: (662) 227-1236
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 13510 Mississippi

Profile Details

NPI number 1356307946
LBN Legal business name Braswell, Thomas Kevin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Jun 21st, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356307946 NPPES
Mississippi MEDICAID 00112536

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