Organization
GRENADA FAMILY MEDICINE CLINIC
Active
Other names
Winona Family Medicine Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH C ARMSTRONG M.D. (PRESIDENT)
(662) 226-5747
Entity
Organization
Contact information
Practice address
1300 SUNSET DR, SUITE F, GRENADA, MS 38901-4086
(662) 226-5747
(662) 226-5622
Mailing address
1300 SUNSET DR, SUITE F, GRENADA, MS 38901-4086
(662) 226-5747
(662) 226-5622
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013778
—
MS
05
—
09014826
—
MS
01
—
1417975731
RALPH C ARMSTRONG, MD NPI
MS
01
—
1467470799
KERRY TODD LEE, MD NPI
MS
01
—
1528086857
RICHARD C. REID, MD NPI
MS
01
—
A12112009661880
PECOS
MS
01
—
CH9466
RAILROAD MEDICARE GROUP
MS
Enumeration date
08/29/2006
Last updated
06/30/2010
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