Organization
STATE OF MISSISSIPPI - UNIVERSITY OF MISSISSIPPI MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY GRIMSLEY (ASSOCIATE CFO - CLINICAL OPERATIONS)
(601) 815-6270
Entity
Organization
Contact information
Practice address
350 W WOODROW WILSON AVE STE 600, JACKSON, MS 39213-7627
(601) 815-6700
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-2130
(601) 815-6064
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/24/2025
Last updated
07/22/2025
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