STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER

GRENADA, MS
NPI1932538527
Doing Business AsUNIVERSITY OF MISSISSIPPI MEDICAL CENTER-GRENADA SPECIALTY CLINIC
Entity TypeOrganization
Authorized ContactKEVIN COOK
CEO
601-984-4113
Organization Subpart ?Yes
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2013-11-05
Last Update Date2014-03-06
Business Address
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
965 AVENT DR SUITE 100A
GRENADA, MS 38901-5045
Phone number: 662-227-7444
Mailing Address
STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-4113