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Wesley Dee Granger, M.d., P.a.
Point of Service in Ridgeland, Mississippi
NPI 1285894378

Wesley Dee Granger, M.d., P.a. is a Point of Service based in Ridgeland, MS. Wesley Dee Granger, M.d., P.a. practices in Ridgeland, MS. The NPI Number for Wesley Dee Granger, M.d., P.a. is 1285894378 and holds a License No. 11037 (Mississippi).

The current practice location address for Wesley Dee Granger, M.d., P.a. is 12 Professional Pkwy, Ridgeland, MS and can be reached out via phone at 601-856-2460 and via fax at 601-856-4687.

Location: 12 Professional Pkwy, Ridgeland, MS, 39157-4113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1285894378
Provider Name
Wesley Dee Granger, M.d., P.a.
Credential
Provider Entity Type
Organization
Address
12 Professional Pkwy, Ridgeland, MS, 39157-4113
Phone Number
601-856-2460
Fax Number
601-856-4687
Provider Enumeration Date
06/11/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00017026 05 MS
institution
Provider Business Practice Location Address Details
Address
12 Professional Pkwy
City
Ridgeland
State
Mississippi
Zip
39157-4113
Phone Number
601-856-2460
Fax Number
601-856-4687
person
Provider Business Mailing Address Details
Address
12 Professional Pkwy
City
Ridgeland
State
Mississippi
Zip
39157-4113
Phone Number
601-856-2460
Fax Number
601-856-4687
person
Provider's Taxonomy Details 1
Type
Managed Care Organizations
Classification
Preferred Provider Organization
Speciality
-
Taxonomy
305R00000X
License No.
11037 (Mississippi)
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
person
Provider's Taxonomy Details 2
Type
Managed Care Organizations
Classification
Point of Service
Speciality
-
Taxonomy
305S00000X
License No.
11037 (Mississippi)
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
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