# BAPTIST PT - CLINTON

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1447534375
- **Authorized official:** AMY GRISSETT (BILLING MANAGER)
- **Authorized official phone:** (601) 944-1717

## Contact information

- **Practice address:** 108 CLINTON PKWY, CLINTON, MS 39056-4730
- **Practice address phone:** (601) 926-2018
- **Practice address fax:** (601) 924-9746
- **Mailing address:** 108 CLINTON PKWY, CLINTON, MS 39056-4730
- **Mailing address phone:** (601) 926-2018
- **Mailing address fax:** (601) 924-9746

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2011
- **Last updated:** 12/04/2015