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Grenada Lake Medical Center
Orthopedic Surgery Physician in Grenada, Mississippi
NPI 1922187095

Grenada Lake Medical Center is a Orthopedic Surgery Physician based in Grenada, MS. Grenada Lake Medical Center practices in Grenada, MS. The NPI Number for Grenada Lake Medical Center is 1922187095 and holds a License No. (Mississippi).

The current practice location address for Grenada Lake Medical Center is 960 J K Avent Dr, Grenada, MS and can be reached out via phone at 662-227-7000 and via fax at 662-227-7534.

Location: 960 J K Avent Dr, Grenada, MS, 38901-5230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1922187095
Provider Name
Grenada Lake Medical Center
Credential
Provider Entity Type
Organization
Address
960 J K Avent Dr, Grenada, MS, 38901-5230
Phone Number
662-227-7000
Fax Number
662-227-7534
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C03391 01 MS MEDICARE PROVIDER #
04557869 05 MS
institution
Provider Business Practice Location Address Details
Address
960 J K Avent Dr
City
Grenada
State
Mississippi
Zip
38901-5230
Phone Number
662-227-7000
Fax Number
662-227-7534
person
Provider Business Mailing Address Details
Address
960 J K Avent Dr
City
Grenada
State
Mississippi
Zip
38901-5230
Phone Number
662-227-7000
Fax Number
662-227-7534
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Orthopedic Surgery
Speciality
-
Taxonomy
207X00000X
License No.
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Definition
An orthopedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
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