Doctor Name: | A WAYNE BRITT |
NPI Number: | 1144333246 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 6532 |
Business Practice Address: | 1405 N State St Suite 200 Jackson, MS - 392021642 |
Business Phone Number: | 6013544327 |
Business Fax Number: | 6013600822 |
Mailing Address: | 1405 N State St, Suite 200 JACKSON |
State: | MS |
Postal Code: | 392021642 |
Phone Number: | 6013544327 |
Fax Number: | 6013600822 |
NPI Enumeration Date: | 08/16/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 6532 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |