Organization
JOSEPH S MESSINA JR MD
Active
Other names
Internal Medicine Clinic Of Grenada
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH S MESSINA JR. MD (OWNER PHYSICIAN)
(662) 226-1646
Entity
Organization
Contact information
Practice address
1300 SUNSET DRIVE, SUITE A, GRENADA, MS 38901
(662) 226-1646
(662) 227-1599
Mailing address
1300 SUNSET DRIVE, SUITE A, GRENADA, MS 38901
(662) 226-1646
(662) 227-1599
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10305
MS
174400000X
Specialist
R713066
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02654890
—
MS
05
—
08232351
—
MS
01
—
1518980887
DR NPI
MS
01
—
1558382358
NP NPI
MS
Enumeration date
04/19/2007
Last updated
04/24/2008
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