Organization
GRANT FAMILY MEDICAL LLC
Active
Other names
Grant Family Medical LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DANA L GRANT NP-C (OWNER/NURSE PRACTITIONER)
(484) 252-6707
Entity
Organization
Contact information
Practice address
805 VARSITY DR, TUPELO, MS 38801-4615
(484) 252-6707
Mailing address
206 MAYNARD DR, TUPELO, MS 38801-4324
(484) 252-6707
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/23/2024
Last updated
02/23/2024
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