Barry Wyn Grantham II, ATS
NPI #1487319877 in Brandon, Mississippi
Provider Information
- NPI Number
- 1487319877
- Entity Type
- Individual
- Name
- Barry Wyn Grantham II, ATS
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Student in an Organized Health Care Education/Training Program
- Credential
- ATS
- Enumeration Date
- Nov 1, 2021
- Last Updated
- Nov 1, 2021
Practice Location
- Address
- 405 OLD TOWN CIR
- City
- Brandon
- State
- Mississippi
- ZIP Code
- 39042-3628
- Phone
- (601) 720-7446
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Student in an Organized Health Care Education/Training Program |
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