Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Barry Wyn Grantham II, ATS

Individual provider Athletic Trainer · NPI 1487319877

Barry Wyn Grantham II, ATS is an Athletic Trainer in Brandon, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

405 Old Town Cir
Brandon, MS 39042-3628
Phone: (601) 720-7446
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MS)
Athletic Trainer Taxonomy 2255A2300X (MS)

Record details

NPI number1487319877
Entity typeIndividual (Type 1)
GenderMale
Credentials ATS
Sole proprietorYes
NPI enumeratedNovember 1, 2021
Last updated in NPPESNovember 1, 2021
Certification dateNovember 1, 2021

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