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GRANT BREELAND MD

Individual Provider (NPI-1) Active

Radiology, Diagnostic Radiology

Provider Information

NPI Number
1174151369
Provider Type
Individual Provider (NPI-1)
Credentials
MD
Status
Active

Contact & Location

Address
815 S PINE ST, VIVIAN, LA, 710823353
Phone
(318) 375-3235
Fax
(706) 596-6704

Specialties & Taxonomies

Specialist
Internal Medicine License: TX #U6923
Radiology, Diagnostic Radiology Primary License: TX #U6923

All Addresses

LOCATION

815 S PINE ST

VIVIAN, LA, 710823353

(318) 375-3235

MAILING

PO BOX 3488 DEPT 05-048

TUPELO, MS, 388033488

(866) 264-3435