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Organization
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Organization
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Other names
UMMC Madison Physicians Group
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GRIMSLEY (ASSOCIATE CFO - CLINICAL OPERATIONS)
(601) 815-6270
Entity
Organization
Contact information
Practice address
163 RIVER OAKS DR, CANTON, MS 39046-5313
(601) 984-1000
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-2130
(601) 984-1000
(601) 815-0434
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/17/2026
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