Individual
MRS. CAROLINE GRANTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
1100 BELK BLVD, OXFORD, MS 38655-5242
(662) 636-1000
Mailing address
1100 BELK BLVD, OXFORD, MS 38655-5242
(662) 636-1000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
905617
MS
Other
Enumeration date
03/19/2021
Last updated
01/05/2023
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