DR. Brett Bienville Tisdale, M.D.

NPI #1699754572 in Mccomb, Mississippi

Provider Information

NPI Number: 1699754572
Entity Type: Individual
Name: DR. Brett Bienville Tisdale, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Emergency Medicine
Credential: M.D.
Enumeration Date: Jan 10, 2006
Last Updated: Mar 16, 2015

Practice Location

Address: 1017 DELAWARE AVE
City: Mccomb
State: Mississippi
ZIP Code: 39648-3827
Phone: (601) 250-1122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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