Organization
GRENADA ADULT HEALTHCARE CLINIC PC.
Active
Other names
Grenada Adult HealthCare Clinic PC.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTICE AARON GONDWE M.D. (PRESIDENT)
(662) 227-6450
Entity
Organization
Contact information
Practice address
965 J K AVENT DR, SUITE 106, GRENADA, MS 38901-5045
(662) 227-6450
(662) 227-6452
Mailing address
965 J K AVENT DR, SUITE 106, GRENADA, MS 38901-5045
(662) 227-6450
(662) 227-6452
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
20373
MS
261QP2300X
Primary Care Clinic/Center
Primary
20373
MS
Other
Enumeration date
08/28/2008
Last updated
08/29/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us