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Organization

BAPTIST PT - BYRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY GRISSETT (BILLING MANAGER)
(601) 944-1717
Entity
Organization

Contact information

Practice address
7273 S SIWELL RD, BYRAM, MS 39272-9776
(601) 372-8223
(601) 372-8125
Mailing address
7273 S SIWELL RD, BYRAM, MS 39272-9776
(601) 372-8223
(601) 372-8125

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Enumeration date
10/11/2011
Last updated
12/04/2015
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