GRANT BREELAND

VIVIAN, LA
NPI1174151369
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: TX  U6923)
Additional Taxonomies174400000X Specialist
207R00000X Internal Medicine
(Licence: TX  U6923)
Enumeration Date2020-04-01
Last Update Date2025-05-14
Business Address
GRANT BREELAND MD
815 S PINE ST
VIVIAN, LA 71082-3353
Phone number: 318-375-3235
Mailing Address
GRANT BREELAND MD
PO BOX 3488 DEPT 05-048
TUPELO, MS 38803-3488
Phone number: 866-264-3435