Individual
RALPH T CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1300 SUNSET DR, STE Q, GRENADA, MS 38901-4086
(662) 294-9101
(662) 294-9104
Mailing address
1300 SUNSET DR, STE Q, GRENADA, MS 38901-4086
(662) 294-9101
(662) 294-9104
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R825333
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245462282
NPI
—
Enumeration date
08/10/2009
Last updated
03/08/2010
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