Family Health Clinic of Grenada
NPI #1144400607 in Grenada, Mississippi
Provider Information
- NPI Number
- 1144400607
- Entity Type
- Organization
- Organization Name
- Family Health Clinic of Grenada
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Nov 13, 2007
- Last Updated
- Dec 1, 2016
Practice Location
- Address
- 1117 SUNSET DR STE 104
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-4080
- Phone
- (662) 226-0110
Authorized Official
- Name
- MR. HENRY BRISTER
- Title
- OWNER
- Phone
- (662) 226-0110
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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