| Grenada Doctors Clinic | |
|
1732 Commerce St Grenada MS 38901-4615 | |
| (662) 226-2021 | |
| (662) 226-1516 |
| Full Name | Grenada Doctors Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1732 Commerce St, Grenada, Mississippi |
| Authorized Official Name and Position | Misty Jones (OFFICE MANAGER) |
| Authorized Official Contact | 6622262021 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grenada Doctors Clinic 1732 Commerce St Grenada MS 38901-4615 Ph: (662) 226-2021 | Grenada Doctors Clinic 1732 Commerce St Grenada MS 38901-4615 Ph: (662) 226-2021 |
| NPI Number | 1447264882 |
|---|---|
| Provider Enumeration Date | 07/29/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447264882 | NPI | - | NPPES |
| 09014089 | Medicaid | MS | |
| 253915 | Other | MS | RIVERBEND |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (Mississippi) | Primary |
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