Brenco

NPI #1295818045 in Monticello, Mississippi

Provider Information

NPI Number: 1295818045
Entity Type: Organization
Organization Name: Brenco
Primary Specialty: Podiatrist
Enumeration Date: Oct 23, 2006
Last Updated: Jul 15, 2010

Practice Location

Address: 157 F E SELLERS HWY
City: Monticello
State: Mississippi
ZIP Code: 39654
Phone: (601) 587-1367

Authorized Official

Name: MRS. OLLIE BRENT
Title: OFFICE MANAGER
Phone: (601) 587-1367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist	213E00000X	Primary

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