# GRENADA FAMILY MEDICINE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GRENADA FAMILY MEDICINE CLINIC
- **Other names:** Winona Family Medicine Clinic
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1912058231
- **Legal business name:** GRENADA FAMILY MEDICINE CLINIC
- **Authorized official:** DR. RALPH C ARMSTRONG JR. M.D. (PRESIDENT)
- **Authorized official phone:** (662) 226-5747

## Contact information

- **Practice address:** 418B N APPLEGATE ST, WINONA, MS 38967-1827
- **Practice address phone:** (662) 283-4433
- **Practice address fax:** (662) 283-4434
- **Mailing address:** 1300 SUNSET DR STE F, GRENADA, MS 38901-4083
- **Mailing address phone:** (662) 283-4433
- **Mailing address fax:** (662) 283-4434

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/15/2007
- **Last updated:** 06/28/2010