State of Mississippi-University of Mississippi Medical Center
NPI #1528495454 in Grenada, Mississippi
Provider Information
- NPI Number
- 1528495454
- Entity Type
- Organization
- Organization Name
- State of Mississippi-University of Mississippi Medical Center
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Oct 10, 2013
- Last Updated
- Jun 12, 2017
Practice Location
- Address
- 965 AVENT DR STE 107
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-5045
- Phone
- (662) 227-7000
Authorized Official
- Name
- MR. JEFFREY GRIMSLEY
- Title
- ASST. CFO
- Phone
- (601) 984-9818
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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