State of Mississippi-University of Mississippi Medical Center
NPI #1841620846 in Grenada, Mississippi
Provider Information
- NPI Number
- 1841620846
- 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
- Nov 13, 2013
- Last Updated
- Oct 30, 2023
Practice Location
- Address
- 960 AVENT DR FL 2
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-5230
- Phone
- (662) 226-5121
Authorized Official
- Name
- MR. SCOTT WHITTEMORE
- Title
- CFO
- Phone
- (601) 984-5017
Specialties & Taxonomy Codes
| Specialty |
|---|
| Obstetrics & Gynecology |
| Clinic/Center - Rural Health — Rural Health |
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