Organization
GSV CARE MEDICAL CLINIC OF SHERMAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MANDA GRIFFIN DNP (NURSE PRACTITIONER)
(662) 269-2151
Entity
Organization
Contact information
Practice address
670 HIGHWAY 178 W, SUITE 5, SHERMAN, MS 38869-7000
(662) 269-2151
(662) 269-2129
Mailing address
P.O. BOX 302, SHERMAN, MS 38869
(662) 269-2151
(662) 269-2129
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01332041
—
MS
Enumeration date
03/30/2015
Last updated
07/26/2017
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