Organization
GRENADA CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E SEIBEL JR. MD (SOLE MBR)
(662) 227-9991
Entity
Organization
Contact information
Practice address
1300 SUNSET DR, SUITE W, GRENADA, MS 38901-4086
(662) 227-9991
(662) 227-9996
Mailing address
PO BOX 2153, DEPT 1882, BIRMINGHAM, AL 35287-1882
(662) 227-9991
(662) 227-9996
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
15354
MS
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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