State of Mississippi-University of Mississippi Medical Center
State of Mississippi-University of Mississippi Medical Center provides Family Medicine Physician services in Grenada, Mississippi. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
965 Avent Dr Ste 100AGrenada, MS 38901-5045 Not confirmed with CMS for 12 years — call before visiting
Phone: (662) 227-7444
Fax: (662) 227-7443
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1932538527 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | State of Mississippi - University of Mississippi Medical Center |
| Authorized official | Kevin Cook — Ceo · (601) 984-4113 |
| Other names | University Of Mississippi Medical Center-Grenada Specialty Clinic |
| NPI enumerated | November 5, 2013 |
| Last updated in NPPES | March 6, 2014 |
| Mailing address | 2500 N State St, Jackson, MS 39216-4500 |
Other providers in Grenada
-
Dr. Richard Clyde Reid, MD
1300 Sunset Dr Ste F, Grenada, MS 38901-4086 · (662) 226-5747
-
Dr. Mal S. Riddell, DO
1300 Sunset Dr Ste B, Grenada, MS 38901-4086 · (662) 226-6430
-
James K Stanford, MD
1117 Sunset Dr Ste 101, Grenada, MS 38901-4080 · (662) 227-1744
-
Stanford Medical Inc
1117 Sunset Dr Ste 101, Grenada, MS 38901-4080 · (662) 227-1744
-
Tallahatchie General Hospital
1301 Sunset Dr Ste E, Grenada, MS 38901-4103 · (662) 229-9787