Organization
GRADY CONSULTING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN GRADY MD (OWNER)
(318) 341-2335
Entity
Organization
Contact information
Practice address
1500 BROAD AVE, GULFPORT, MS 39501-3601
(228) 868-1314
Mailing address
7470 WOODLAWN CT, PASS CHRISTIAN, MS 39571-5539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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