Organization
GRAN-GC SERVIVES
Active
Other names
Gran-GC
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA JOHNSON BELL (CEO)
(901) 493-7533
Entity
Organization
Contact information
Practice address
2600 HIGHWAY 51 N, NESBIT, MS 38651-9607
(901) 493-7533
Mailing address
2600 HIGHWAY 51 N, NESBIT, MS 38651-9607
(901) 493-7533
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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