| University Of Mississippi Medical Center-grenada Specialty Clinic | |
|
965 Avent Dr Suite 100a Grenada MS 38901-5045 | |
| (662) 227-7444 | |
| (662) 227-7443 |
| Full Name | University Of Mississippi Medical Center-grenada Specialty Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 965 Avent Dr, Grenada, Mississippi |
| Authorized Official Name and Position | Kevin Cook (CEO) |
| Authorized Official Contact | 6019844113 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Of Mississippi Medical Center-grenada Specialty Clinic 2500 N State St Jackson MS 39216-4500 Ph: (601) 984-4113 | University Of Mississippi Medical Center-grenada Specialty Clinic 965 Avent Dr Suite 100a Grenada MS 38901-5045 Ph: (662) 227-7444 |
| NPI Number | 1932538527 |
|---|---|
| Provider Enumeration Date | 11/05/2013 |
| Last Update Date | 03/06/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932538527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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