GRACE ELLEN M SANTA TERESA

JACKSON, MS
NPI1104023399
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: MS  659-L)
Enumeration Date2007-06-29
Last Update Date2007-07-08
Business Address
Dr. GRACE ELLEN M SANTA TERESA M.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-4000
Mailing Address
Dr. GRACE ELLEN M SANTA TERESA M.D.
201 BINNACLE CT
BRANDON, MS 39047-7051
Phone number: 601-213-8633
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