Grayson Creek Medical Clinic, LLC
NPI #1184166035 in Moselle, Mississippi
Provider Information
- NPI Number
- 1184166035
- Entity Type
- Organization
- Organization Name
- Grayson Creek Medical Clinic, LLC
- Primary Specialty
- Nurse Practitioner - Pediatrics
- Enumeration Date
- Nov 9, 2016
- Last Updated
- Oct 19, 2017
Practice Location
- Address
- 3 JOHN EVERETT RD
- City
- Moselle
- State
- Mississippi
- ZIP Code
- 39459-9771
- Phone
- (601) 620-9991
Authorized Official
- Name
- MACK E KNIGHT, FNP-C
- Title
- OWNER
- Phone
- (601) 408-9945
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
| Nurse Practitioner - Pediatrics — Pediatrics |
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