Organization
RAYMOND F. GRENFELL, III., M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND F GRENFELL III M.D. (OWNER)
(601) 948-5158
Entity
Organization
Contact information
Practice address
971 LAKELAND DRIVE, SUITE 450, JACKSON, MS 39216
(601) 948-5158
(601) 949-6058
Mailing address
971 LAKELAND DR, SUITE 450, JACKSON, MS 39216-4643
(601) 948-5158
(601) 949-6058
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
21031
MS
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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