Individual
DR. STEPHEN DOUGLAS GRADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-1000
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(401) 793-2930
(401) 793-2953
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31715
MS
207R00000X
Internal Medicine Physician
Primary
LP05091
RI
Other
Enumeration date
06/16/2020
Last updated
06/29/2023
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