GRANT JERNIGAN

GULFPORT, MS
NPI1801390877
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: MS  28346)
Additional Taxonomies207R00000X Internal Medicine
(Licence: MS  28346)
Enumeration Date2018-03-22
Last Update Date2023-08-10
Business Address
GRANT JERNIGAN
4500 13TH ST
GULFPORT, MS 39501-2515
Phone number: 228-575-1194
Mailing Address
GRANT JERNIGAN
4500 13TH ST
GULFPORT, MS 39501-2515
Phone number: 318-348-4255