Individual
BRYON K GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.
Contact information
Practice address
5 BRANDON CT, GRAY, TN 37615-2332
(423) 794-9866
Mailing address
5 BRANDON CT, GRAY, TN 37615-2332
(423) 794-9866
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0000000478
TN
Other
Enumeration date
09/25/2008
Last updated
09/25/2008
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