Organization
GRENADA FAMILY MEDICINE CLINIC
Active
Parent organization
GRENADA FAMILY MEDICINE CLINIC
Other names
Winona Family Medicine Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
GRENADA FAMILY MEDICINE CLINIC
Authorized official
DR. RALPH C ARMSTRONG JR. M.D. (PRESIDENT)
(662) 226-5747
Entity
Organization
Contact information
Practice address
418B N APPLEGATE ST, WINONA, MS 38967-1827
(662) 283-4433
(662) 283-4434
Mailing address
1300 SUNSET DR STE F, GRENADA, MS 38901-4083
(662) 283-4433
(662) 283-4434
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
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
—
1700994738
GRENADA FAMILY MEDICINE CLINIC NPI
MS
01
—
A12112009661880
PECOS
MS
01
—
CH9466
RAILROAD MEDICARE GROUP
MS
Enumeration date
01/15/2007
Last updated
06/28/2010
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