Grenada Lake Medical Center
NPI #1669578894 in Grenada, Mississippi
Provider Information
- NPI Number
- 1669578894
- Entity Type
- Organization
- Organization Name
- Grenada Lake Medical Center
- Primary Specialty
- Obstetrics & Gynecology
- Enumeration Date
- Sep 15, 2006
- Last Updated
- Apr 3, 2012
Practice Location
- Address
- 1900 GRANDVIEW DR
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-5066
- Phone
- (662) 226-5121
Authorized Official
- Name
- MR. SHELLEY SMITH, CFNP
- Title
- CLINICAL DIRECTOR
- Phone
- (662) 226-5121
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
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Individual Providers
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| Thomas Holden, MD |  AI Deep Dive |
| Sidney Bondurant, MD | AI Deep Dive |
| DR. John Michael Woods, M.D. | AI Deep Dive |
| Charles G Ryan JR., M.D. | AI Deep Dive |
Organizations
| Provider Name | |
|---|---|
| Grenada Clinic for Women, PA | AI Deep Dive |
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