| Grady Consulting Services, Llc | |
|
1500 Broad Ave Gulfport MS 39501-3601 | |
| (228) 868-1314 | |
| Not Available |
| Full Name | Grady Consulting Services, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1500 Broad Ave, Gulfport, Mississippi |
| Authorized Official Name and Position | John Grady (OWNER) |
| Authorized Official Contact | 3183412335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grady Consulting Services, Llc 7470 Woodlawn Ct Pass Christian MS 39571-5539 Ph: () - | Grady Consulting Services, Llc 1500 Broad Ave Gulfport MS 39501-3601 Ph: (228) 868-1314 |
| NPI Number | 1386106094 |
|---|---|
| Provider Enumeration Date | 04/02/2019 |
| Last Update Date | 04/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386106094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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