GRENADA LAKE INPATIENT MEDICINE ASSOCIATES

GRENADA, MS
NPI1235284928
Entity TypeOrganization
Authorized ContactKEITH HEARTSILL
CFO
662-227-7172
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2007-01-24
Last Update Date2008-04-20
Business Address
GRENADA LAKE INPATIENT MEDICINE ASSOCIATES
960 J K AVENT DR
GRENADA, MS 38901-5230
Phone number: 662-227-7492
Mailing Address
GRENADA LAKE INPATIENT MEDICINE ASSOCIATES
PO BOX 52007
ATLANTA, GA 30355-0007
Phone number: 678-397-0060