NPI | 1932538527 |
---|---|
Doing Business As | UNIVERSITY OF MISSISSIPPI MEDICAL CENTER-GRENADA SPECIALTY CLINIC |
Entity Type | Organization |
Authorized Contact | KEVIN COOK CEO 601-984-4113 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2013-11-05 |
Last Update Date | 2014-03-06 |