CANON JADE BEISSEL

GRENADA, MS
NPI1154483394
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RN0300X Internal Medicine Nephrology
(Licence: MS  16518)
Enumeration Date2006-12-14
Last Update Date2007-07-09
Business Address
CANON JADE BEISSEL MD
35 W MONROE ST
GRENADA, MS 38901-5222
Phone number: 662-226-8229
Mailing Address
CANON JADE BEISSEL MD
PO BOX 1041
GRENADA, MS 38902-1041
Phone number: 662-226-9866
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