Basic Information
| Provider Information | |||||||||
| NPI: | 1225667249 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BROWNING | ||||||||
| FirstName: | MALLORY | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6018 ROSEMEAD CIR | ||||||||
| Address2: | |||||||||
| City: | BOSSIER CITY | ||||||||
| State: | LA | ||||||||
| PostalCode: | 711115675 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3184553550 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2500 NORTH STATE STREET | ||||||||
| Address2: | |||||||||
| City: | JACKSON | ||||||||
| State: | MS | ||||||||
| PostalCode: | 392164505 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6019845582 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/02/2020 | ||||||||
| LastUpdateDate: | 09/10/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/10/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | T-4085 | MS | Y | Allopathic & Osteopathic Physicians | Emergency Medicine |
No ID Information.