Grenada Adult Healthcare Clinic PC
Grenada Adult Healthcare Clinic PC is a Medical Specialty Clinic/Center in Grenada, Mississippi. Licensed in Mississippi. Registered with an NPI since 2008.
- Licensed in
- MS
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- PC — Professional corporation
- A form of business registration, not a clinical qualification.
Practice location Address checks out
965 J K Avent Dr Ste 106Grenada, MS 38901-5045
Phone: (662) 227-6450
Fax: (662) 227-6452
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 20373 (MS) |
|---|---|
| Medical Specialty Clinic/Center | Taxonomy 261QM2500X · Licence 20373 (MS) |
Record details
| NPI number | 1144478512 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Justice Gondwe — President · (662) 227-6450 |
| Other names | Grenada Adult Healthcare Clinic Pc. |
| NPI enumerated | August 28, 2008 |
| Last updated in NPPES | August 29, 2008 |
| Mailing address | 965 J K Avent Dr, Suite 106, Grenada, MS 38901-5045 |