Individual
MARK JASON GRIMES II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
611 ALCORN DR, CORINTH, MS 38834-9388
(662) 293-1000
Mailing address
2105 N PARKWAY ST, CORINTH, MS 38834-2836
(912) 288-5687
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
T-5116
MS
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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