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Grenada Adult Healthcare Clinic Pc.
Primary Care Clinic/Center in Grenada, Mississippi
NPI 1144478512

Grenada Adult Healthcare Clinic Pc. is a Primary Care Clinic/Center based in Grenada, MS and is specialized in Primary Care. Grenada Adult Healthcare Clinic Pc. practices in Grenada, MS. The NPI Number for Grenada Adult Healthcare Clinic Pc. is 1144478512 and holds a License No. 20373 (Mississippi).

The current practice location address for Grenada Adult Healthcare Clinic Pc. is 965 J K Avent Dr, Grenada, MS and can be reached out via phone at 662-227-6450 and via fax at 662-227-6452.

Location: 965 J K Avent Dr, Grenada, MS, 38901-5045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144478512
Provider Name
Grenada Adult Healthcare Clinic Pc.
Credential
Provider Entity Type
Organization
Address
965 J K Avent Dr, Grenada, MS, 38901-5045
Phone Number
662-227-6450
Fax Number
662-227-6452
Provider Enumeration Date
08/28/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
965 J K Avent Dr
City
Grenada
State
Mississippi
Zip
38901-5045
Phone Number
662-227-6450
Fax Number
662-227-6452
person
Provider Business Mailing Address Details
Address
965 J K Avent Dr
City
Grenada
State
Mississippi
Zip
38901-5045
Phone Number
662-227-6450
Fax Number
662-227-6452
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
20373 (Mississippi)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
20373 (Mississippi)
Definition
Definition to come...
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