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Barry Grantham, ATS
NPI 1487319877 · on the registry since 2021 · sole proprietor
Practice
- Address
- 405 Old Town Cir
Brandon, MS 39042 - Phone
- (601) 720-7446
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Also registered as
- Athletic Trainer
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-11-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi