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

Trace Medical Clinic, PLLC

Organization Family Medicine Physician · NPI 1376846469

Trace Medical Clinic, PLLC provides Family Medicine Physician services in Kosciusko, Mississippi. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

530 Veterans Memorial Dr
Kosciusko, MS 39090-3858 Not confirmed with CMS for 15 years — call before visiting
Phone: (662) 289-9155
Fax: (662) 289-7752
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1376846469
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Browning — President · (662) 289-9155
NPI enumeratedDecember 10, 2010
Last updated in NPPESDecember 10, 2010
Mailing address530 Veterans Memorial Dr, Kosciusko, MS 39090-3858

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