State of Mississippi-University of Mississippi Medical Center
NPI #1932538527 in Grenada, Mississippi
Provider Information
- NPI Number
- 1932538527
- 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
- Family Medicine
- Enumeration Date
- Nov 5, 2013
- Last Updated
- Mar 6, 2014
Practice Location
- Address
- 965 AVENT DR
- Address 2
- SUITE 100A
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-5045
- Phone
- (662) 227-7444
Authorized Official
- Name
- MR. KEVIN COOK
- Title
- CEO
- Phone
- (601) 984-4113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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