Individual
DR. DANA LANELL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1824 HOSPITAL DR, JACKSON, MS 39204-3410
(601) 346-4586
(601) 346-4587
Mailing address
297 HIGHWAY 51 STE B, RIDGELAND, MS 39157-3423
(601) 707-5381
(601) 707-5382
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
19338
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05025008
—
MS
Enumeration date
12/22/2006
Last updated
11/15/2011
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