# RAYMOND F. GRENFELL, III., M.D., PLLC

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

## Provider details

- **NPI number:** 1780902155
- **Authorized official:** RAYMOND F GRENFELL III M.D. (OWNER)
- **Authorized official phone:** (601) 948-5158

## Contact information

- **Practice address:** 971 LAKELAND DRIVE, SUITE 450, JACKSON, MS 39216
- **Practice address phone:** (601) 948-5158
- **Practice address fax:** (601) 949-6058
- **Mailing address:** 971 LAKELAND DR, SUITE 450, JACKSON, MS 39216-4643
- **Mailing address phone:** (601) 948-5158
- **Mailing address fax:** (601) 949-6058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 21031 | MS | Yes |

## Other

- **Enumeration date:** 05/11/2010
- **Last updated:** 05/11/2010