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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BARRY WYN GRANTHAM II, ATS

Active Sole Proprietor

BARRY WYN GRANTHAM II, ATS is a Student (Health Education/Training) healthcare provider located in BRANDON, Mississippi. NPI 1487319877 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · BRANDON, MS

Registration Details

NPI Number
1487319877
Provider Type
Individual
Gender
Male
NPI Issued
Nov 1, 2021 (4.6002591328872 yrs)
Last Updated
Nov 1, 2021
Sole Proprietor
Yes

Practice Information

Address
405 OLD TOWN CIR
BRANDON, MS, 390423628
Browse MS providers · Browse ZIP 39042
Phone
6017207446
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in BRANDON, MS

Name Credential NPI
ERIN CHRISTINE LYLE 1326311796
ASHLEY KAROL BROWN MD 1295354785
SELAH CAROLINE HALL 1457114183
JOSHUA MICHAEL 1669209680
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.