Individual
DR. WESLEY DEE GRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 PROFESSIONAL PKWY, RIDGELAND, MS 39157-4113
(601) 856-2460
(601) 856-4687
Mailing address
11 PROFESSIONAL PKWY, RIDGELAND, MS 39157-4113
(601) 856-2460
(601) 856-4687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11037
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017026
—
MS
01
—
800050346
UNITED HEALTH CARE
MS
Enumeration date
07/24/2006
Last updated
09/24/2019
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