Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Brookhaven Children's Clinic

Organization Pediatrics Physician · NPI 1003928672

Brookhaven Children's Clinic is a Pediatrics Physician in Brookhaven, Mississippi. Licensed in Mississippi. Registered with an NPI since 2006.

Licensed in
MS
In the registry since
2006
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Practice location Address checks out

624 Highway 51 N
Brookhaven, MS 39601-2337
Phone: (601) 835-2100
Fax: (601) 835-0451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 11043 (MS)

Record details

NPI number1003928672
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Holland — Owner · (601) 835-2100
NPI enumeratedAugust 31, 2006
Last updated in NPPESAugust 22, 2020
Mailing address624 Highway 51 N, Brookhaven, MS 39601-2337

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