MARY GRANT

SOUTHAVEN, MS
NPI1093970733
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: MS  R538515)
Enumeration Date2008-07-22
Last Update Date2008-07-22
Business Address
-- MARY GRANT FNP
9140 HIGHWAY 51 N
SOUTHAVEN, MS 38671-1233
Phone number: 662-280-8222
Mailing Address
-- MARY GRANT FNP
9140 HIGHWAY 51 N
SOUTHAVEN, MS 38671-1233
Phone number: 662-280-8222