person
Dr. Gretchen Brocksmith, MD
Student in an Organized Health Care Education/Training Program in Columbus, Mississippi
NPI 1831894641

Gretchen Brocksmith is a Student in an Organized Health Care Education/Training Program based in Plaquemine, MS. Gretchen Brocksmith practices in Columbus, MS and has the professional credentials of MD. The NPI Number for Gretchen Brocksmith is 1831894641 and holds a License No. (Mississippi).

The current practice location address for Gretchen Brocksmith is 2520 5Th St N, Columbus, MS and can be reached out via phone at 662-244-1705.

Location: 2520 5Th St N, Columbus, MS, 70764-3235
person
Provider Profile Details
NPI Number
1831894641
Provider Name
Gretchen Brocksmith
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2520 5Th St N, Columbus, MS, 70764-3235
Phone Number
662-244-1705
Fax Number
Provider Enumeration Date
04/03/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2520 5Th St N
City
State
Zip
39705-2008
Phone Number
662-244-1705
Fax Number
person
Provider Business Mailing Address Details
Address
2520 5Th St N
City
State
Zip
39705-2008
Phone Number
662-244-1705
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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