WESLEY DEE GRANGER, M.D., P.A.

RIDGELAND, MS
NPI1285894378
Other NameMADISON-RIDGELAND MEDICAL CLINIC
Entity TypeOrganization
Authorized ContactWESLEY DEE GRANGER
Owner
601-856-2460
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: MS  11037)
Additional Taxonomies305S00000X Point of Service
(Licence: MS  11037)
Enumeration Date2008-06-11
Last Update Date2008-06-11
Business Address
WESLEY DEE GRANGER, M.D., P.A.
12 PROFESSIONAL PKWY
RIDGELAND, MS 39157-4113
Phone number: 601-856-2460
Mailing Address
WESLEY DEE GRANGER, M.D., P.A.
12 PROFESSIONAL PKWY
RIDGELAND, MS 39157-4113
Phone number: 601-856-2460