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1322c Sunset Dr, Grenada, MS 38901-4000 | |
| (228) 388-5714 | |
| (228) 388-0017 |
| Full Name | |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1322c Sunset Dr, Grenada, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003233271 | NPI | - | NPPES |
| 09015077 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 8419, Biloxi, MS 39535-8087 Ph: (228) 388-5714 | 1322c Sunset Dr, Grenada, MS 38901-4000 Ph: (228) 388-5714 |
Mr. Charles Edward Hill Ii, B.S.PHYSICAL THERAPY Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1300 Sunset Dr, Ste G, Grenada, MS 38901 Phone: 662-227-9748 Fax: 668-227-9769 | |
Thu Doan, OT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 335 Horseshoe Ln, Grenada, MS 38901 Phone: 662-229-7808 | |
Lacey S Rose, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1966 Hill Dr, Grenada, MS 38901 Phone: 662-226-2442 Fax: 662-226-9567 | |
Mr. Randy Young Jr., PT,DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 40 Rosemont Dr, Apt. F, Grenada, MS 38901 Phone: 601-415-2844 | |
Benjamin Clayton Edwards, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1322c Sunset Dr, Grenada, MS 38901 Phone: 662-294-1007 Fax: 662-294-1079 | |
Angelina Guilambo, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 960 Avent Dr, Grenada, MS 38901 Phone: 662-227-7770 |