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Mr. Bruce Grissom JR.
Family Medicine Physician in Purvis, Mississippi
NPI 1720513617

Bruce Grissom JR. is a Family Medicine Physician based in Hattiesburg, MS. Bruce Grissom JR. practices in Purvis, MS. The NPI Number for Bruce Grissom JR. is 1720513617 and holds a License No. 27862 (Mississippi).

The current practice location address for Bruce Grissom JR. is 102 Shelby Speights Dr, Purvis, MS and can be reached out via phone at 601-794-8065 and via fax at 601-794-5650.

Location: 102 Shelby Speights Dr, Purvis, MS, 39401-7246
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720513617
Provider Name
Bruce Grissom JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 Shelby Speights Dr, Purvis, MS, 39401-7246
Phone Number
601-794-8065
Fax Number
601-794-5650
Provider Enumeration Date
04/27/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
102 Shelby Speights Dr
City
Purvis
State
Mississippi
Zip
39475-4151
Phone Number
601-794-8065
Fax Number
601-794-5650
person
Provider Business Mailing Address Details
Address
102 Shelby Speights Dr
City
Purvis
State
Mississippi
Zip
39475-4151
Phone Number
601-794-8065
Fax Number
601-794-5650
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
27862 (Mississippi)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
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