Andrew David Bright BS, ATC

NPI 1407111628 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1407111628
Gender Male
Enumeration Date 07/13/2012
Last Updated 07/13/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
50 S MAIN ST
WATER VALLEY MS, 38965-2946, US
Phone (662) 473-4777
Fax (662) 473-2233
Business Location
76 LAKESIDE RD
POPE MS, 38658-2810, US
Phone (662) 809-0448
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Mississippi
License Number AT0494
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According to our database, Mr. Andrew David Bright BS, ATC NPI is 1407111628, taxonomy code is 2255A2300X and license number is AT0494, license state is located at Mississippi. Andrew David Bright BS, ATC physically located at 50 S Main St, Water Valley MS, 38965-2946. NPI Number Andrew David Bright BS, ATC has the Individual type.

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1407111628 NPI number is provided on an as is basis without warranty of any kind. 1407111628 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew David Bright BS, ATC are for informational purposes only.