Individual
BRANDON GRECINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
830 S GLOSTER ST, TUPELO, MS 38801-4934
(662) 377-3000
Mailing address
830 S GLOSTER ST, TUPELO, MS 38801-4934
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000014717
ATHLETIC TRAINING BOARD OF CERTIFICATION
—
Enumeration date
03/22/2017
Last updated
03/22/2017
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