| Biogenics, Llc | |
|
307 Chartrese Dr Brandon MS 39047-8779 | |
| (601) 906-3718 | |
| Not Available |
| Full Name | Biogenics, Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 307 Chartrese Dr, Brandon, Mississippi |
| Authorized Official Name and Position | Scott Wayne Grantham (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Contact | 6019063718 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Biogenics, Llc 307 Chartrese Dr Brandon MS 39047-8779 Ph: () - | Biogenics, Llc 307 Chartrese Dr Brandon MS 39047-8779 Ph: (601) 906-3718 |
| NPI Number | 1821477167 |
|---|---|
| Provider Enumeration Date | 05/19/2015 |
| Last Update Date | 05/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821477167 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | PT3612 (Mississippi) | Primary |
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