| 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 |