Individual
DR. BRYAN G FRENTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 RAWLS DR STE 500, MCCOMB, MS 39648-2899
(601) 249-4282
(601) 249-4852
Mailing address
PO BOX 490, MCCOMB, MS 39649-0490
(601) 250-4366
(601) 250-4367
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
024773
LA
207X00000X
Orthopaedic Surgery Physician
Primary
22089
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1579475
—
LA
01
—
P00253396
PALMETTO GBA - RAILROAD M
LA
Enumeration date
07/07/2005
Last updated
07/21/2022
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