Grenada Physician Services, LLC

NPI #1932762721 in Grenada, Mississippi

Provider Information

NPI Number: 1932762721
Entity Type: Organization
Organization Name: Grenada Physician Services, LLC
Primary Specialty: Hospitalist
Enumeration Date: Apr 17, 2019
Last Updated: May 17, 2021

Practice Location

Address: 960 AVENT DR
City: Grenada
State: Mississippi
ZIP Code: 38901-5230
Phone: (662) 227-7000

Authorized Official

Name: LISHA C FALK
Title: VP OF CONTRACTING
Phone: (800) 893-9698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X
Hospitalist	208M00000X	Primary

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