| NPI | 1891912226 |
|---|---|
| Doing Business As | INTERNAL MEDICINE CLINIC OF GRENADA |
| Entity Type | Organization |
| Authorized Contact | JOSEPH S MESSINA Owner Physician 662-226-1646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MS 10305) |
| Additional Taxonomies | 174400000X Specialist (Licence: MS R713066) |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2008-04-24 |