| NPI | 1447264882 |
|---|---|
| Doing Business As | GRENADA DOCTORS CLINIC |
| Entity Type | Organization |
| Authorized Contact | MISTY JONES Office Manager 662-226-2021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2022-07-21 |