| State Of Mississippi - University Of Mississippi Medical Center | |
|
1300 Sunset Dr Ste R Grenada MS 38901-4084 | |
| (662) 227-7000 | |
| Not Available |
| Full Name | State Of Mississippi - University Of Mississippi Medical Center |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1300 Sunset Dr Ste R, Grenada, Mississippi |
| Authorized Official Name and Position | Scott Whittemore (CFO) |
| Authorized Official Contact | 6622277172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Mississippi - University Of Mississippi Medical Center 960 Avent Dr Grenada MS 38901-5230 Ph: (662) 227-7172 | State Of Mississippi - University Of Mississippi Medical Center 1300 Sunset Dr Ste R Grenada MS 38901-4084 Ph: (662) 227-7000 |
| NPI Number | 1881466910 |
|---|---|
| Provider Enumeration Date | 10/23/2023 |
| Last Update Date | 10/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881466910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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