GRENADA LAKE MEDICAL CENTER

Family Medicine Physician

NPI: 1053684548Organization

Specialties, Licenses & Credentials

Family Medicine PhysicianPrimary

Family Medicine

Code: 207Q00000X

21836(MS)

Contact & Hours

Address: 965 AVENT DR STE 100A
GRENADA, MS 38901
Phone: (662) 227-7444

Quick Facts

NPI: 1053684548
Entity Type: Organization
Medicare: Not confirmed
Specialties: 1
Locations: 1

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