Provider Demographics
NPI:1386089274
Name:BROWN, CHERITA
Entity type:Individual
Prefix:
First Name:CHERITA
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 MEDICAL CENTER CIR
Mailing Address - Street 2:
Mailing Address - City:WEST POINT
Mailing Address - State:MS
Mailing Address - Zip Code:39773-0432
Mailing Address - Country:US
Mailing Address - Phone:662-494-9466
Mailing Address - Fax:662-494-9900
Practice Address - Street 1:373 MEDICAL CENTER CIR
Practice Address - Street 2:
Practice Address - City:WEST POINT
Practice Address - State:MS
Practice Address - Zip Code:39773
Practice Address - Country:US
Practice Address - Phone:662-494-9466
Practice Address - Fax:662-494-9900
Is Sole Proprietor?:No
Enumeration Date:2013-05-06
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXBP10046470207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology