Grenada Lake Medical Center
NPI #1134302136 in Grenada, Mississippi
Provider Information
- NPI Number
- 1134302136
- Entity Type
- Organization
- Organization Name
- Grenada Lake Medical Center
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Dec 12, 2007
- Last Updated
- Dec 17, 2007
Practice Location
- Address
- 965 AVENT DR STE 105
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-5045
- Phone
- (662) 227-7575
Authorized Official
- Name
- MR. CHARLES L DENTON
- Title
- CEO
- Phone
- (662) 227-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| General Acute Care Hospital |
| Clinic/Center |
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