| Grant Family Medical Llc | |
|
805 Varsity Dr Tupelo MS 38801-4615 | |
| (484) 252-6707 | |
| Not Available |
| Full Name | Grant Family Medical Llc |
|---|---|
| Speciality | General Practice |
| Location | 805 Varsity Dr, Tupelo, Mississippi |
| Authorized Official Name and Position | Dana L Grant (OWNER/NURSE PRACTITIONER) |
| Authorized Official Contact | 4842526707 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grant Family Medical Llc 206 Maynard Dr Tupelo MS 38801-4324 Ph: (484) 252-6707 | Grant Family Medical Llc 805 Varsity Dr Tupelo MS 38801-4615 Ph: (484) 252-6707 |
| NPI Number | 1033975420 |
|---|---|
| Provider Enumeration Date | 02/23/2024 |
| Last Update Date | 02/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033975420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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