Individual provider · Type 1 NPI

Barry Wyn Grantham Ii, ATS

Student in an Organized Health Care Education/Training Program · Brandon, MS

NPI number 1487319877 Active

Practice location

405 Old Town Cir
Brandon, MS 39042-3628

Call (601) 720-7446 Map

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1487319877

Barry Wyn Grantham Ii, ATS's National Provider Identifier is 1487319877, issued on Nov 1, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Brandon, MS. The record was last updated on Nov 1, 2021.