| NPI | 1134302136 |
|---|---|
| Doing Business As | GRENADA PRIMARY CARE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES L DENTON CEO 662-227-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: MS 11-245) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: MS 11-245) |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-17 |