Organization
MISSISSIPPI MEDICAL GROUP, INC
Active
Other names
N/A
Organization subpart
No
Provider details
NPI number
Authorized official
MISS TERESA GRAHAM (PRESIDENT/MANAGER)
(601) 500-1268
Entity
Organization
Contact information
Practice address
101 WEBSTER CIR STE 300, MADISON, MS 39110-7789
(601) 573-2294
(601) 391-1951
Mailing address
101 WEBSTER CIR STE 300, MADISON, MS 39110-7789
(601) 348-8988
(601) 391-1951
Taxonomy
Speciality
Code
Description
License number
State
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Enumeration date
04/21/2023
Last updated
08/24/2023
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