Individual
BHAVATI BRENNAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSS
Contact information
Practice address
15120 COUNTY BARN RD, GULFPORT, MS 39503-4263
(228) 213-5900
(222) 857-5629
Mailing address
PO BOX 18679, HATTIESBURG, MS 39404-8679
(601) 705-1901
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
748
MS
Other
Enumeration date
01/19/2024
Last updated
01/19/2024
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