Grenada Anesthesiology Inc.

NPI #1679544183 in Grenada, Mississippi

Provider Information

NPI Number: 1679544183
Entity Type: Organization
Organization Name: Grenada Anesthesiology Inc.
Primary Specialty: Anesthesiology
Enumeration Date: Feb 1, 2006
Last Updated: Jul 9, 2009

Practice Location

Address: 960 AVENT DR
City: Grenada
State: Mississippi
ZIP Code: 38901-5230
Phone: (662) 227-7336

Authorized Official

Name: DR. WALTER TAYLOR JR., MD
Title: CEO
Phone: (662) 227-7336

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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