Individual
WILLIAM M GRANTHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
498 HIGHWAY 80 E, CLINTON, MS 39056-4720
(601) 924-4000
(601) 924-3360
Mailing address
498 HIGHWAY 80 E, CLINTON, MS 39056-4720
(601) 924-4000
(601) 924-3360
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12116
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122355
—
MS
Enumeration date
08/09/2006
Last updated
07/08/2007
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