# REDDIX MEDICAL GROUP

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

## Provider details

- **NPI number:** 1720213069
- **Authorized official:** MS. GLORIA GRENNELL (OFFICE MANAGER)
- **Authorized official phone:** (601) 899-3310

## Contact information

- **Practice address:** 5903 RIDGEWOOD RD, SUITE 310, JACKSON, MS 39211-3700
- **Practice address phone:** (601) 899-3310
- **Practice address fax:** (601) 899-3314
- **Mailing address:** 5903 RIDGEWOOD RD, SUITE 310, JACKSON, MS 39211-3700
- **Mailing address phone:** (601) 899-3310
- **Mailing address fax:** (601) 899-3314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | MS | Yes |

## Other

- **Enumeration date:** 05/15/2009
- **Last updated:** 05/15/2009