Individual provider · NPI-1

Dr. Glenn Anthony Brien Jr., M.D.

Orthopaedic Surgery, Sports Medicine · Flowood, MS

NPI number1760627996
StatusActive
Last updated in NPPESSep 8, 2019

Details

NPI
1760627996
Entity type
Individual (NPI-1)
Name
Dr. Glenn Anthony Brien Jr.
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
Dec 2, 2008
Last updated
Sep 8, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XX0005X Orthopaedic Surgery, Sports MedicineM9881TXYes

Practice location

104 Burney Dr
Flowood, MS 39232-6621

Phone 601-987-8200 · Fax 601-987-8211

Mailing address

Po Box 30594
Charlotte, NC 28230-0594

Phone 601-987-8200 · Fax 601-987-8211

Other practice locations

106 Highland Way Ste 102
Madison, MS 39110-6933

Phone 601-987-8200

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