William M Grantham, MD | |
498 Highway 80 E, Clinton, MS 39056-4720 | |
(601) 924-4000 | |
(601) 924-3360 |
Full Name | William M Grantham |
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Gender | Male |
Speciality | Family Medicine |
Location | 498 Highway 80 E, Clinton, Mississippi |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225048291 | NPI | - | NPPES |
0122355 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 12116 (Mississippi) | Primary |
Entity Name | First Intermed Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669406658 PECOS PAC ID: 5294629895 Enrollment ID: O20040213000105 |
Entity Name | Mea Primary Care Plus, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750826210 PECOS PAC ID: 0941583728 Enrollment ID: O20170202001116 |
Mailing Address | Practice Location Address |
---|---|
William M Grantham, MD 498 Highway 80 E, Clinton, MS 39056-4720 Ph: (601) 924-4000 | William M Grantham, MD 498 Highway 80 E, Clinton, MS 39056-4720 Ph: (601) 924-4000 |
Shinita Reed Dudley, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 507 Springridge Rd Ste A, Clinton, MS 39056 Phone: 601-708-1414 Fax: 601-708-1415 | |
Dr. Arturo Enrique Blanco, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 728 Clinton Pkwy Ste B, Clinton, MS 39056 Phone: 601-200-4800 Fax: 601-200-4805 | |
Dr. Samuel Jones Jr., M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Woodchase Park Dr, Clinton, MS 39056 Phone: 601-924-7043 Fax: 601-924-4546 | |
Joseph Brooks Montgomery, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 106 Clinton Pkwy, Clinton, MS 39056 Phone: 601-924-9005 Fax: 601-925-9463 | |
Patrick Bynum, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 498 Highway 80 E, Clinton, MS 39056 Phone: 601-924-4000 Fax: 601-924-3360 | |
Dr. Scott Chasley Martin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 732 Clinton Pkwy, Clinton, MS 39056 Phone: 601-924-7994 Fax: 601-924-7671 |