Individual
MICHAEL ANTHONY MCBRYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
230 MAIN ST., SUITE A, NETTLETON, MS 38858
(662) 591-7077
(662) 591-7078
Mailing address
PO BOX 205, MANTACHIE, MS 38855-0205
(662) 282-4949
(662) 282-4955
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT6462
MS
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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