GRENADA LAKE MEDICAL CENTER
Family Medicine
Active
Organization
NPI: 1053684548
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Family Medicine | 207Q00000X | Yes | 21836 (MS) |
Frequently Asked Questions
NPI 1053684548 is the National Provider Identifier for GRENADA LAKE MEDICAL CENTER, a Family Medicine provider located in Grenada, MS. This NPI was enumerated on February 15, 2012.
Quick Facts
- NPI
- 1053684548
- Type
- Organization
- Enumerated
- Feb 15, 2012
- Last Updated
- Mar 18, 2014
Nearby Providers
-
NELL BROCK, FNP,C
Nurse Practitioner - Family
-
DR. MAL RIDDELL, D.O.
Family Medicine
-
ALWIN JUCHHEIM III, DPM
Podiatrist
-
MRS. DEBRA SIMMONS, RNC
Clinical Nurse Specialist - Women's Health
-
OLIVIA VAN GORDON
Dentist - General Practice