Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grenada Lake Medical Center

Organization Obstetrics & Gynecology Physician · NPI 1669578894

Grenada Lake Medical Center is an Obstetrics & Gynecology Physician in Grenada, Mississippi. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1900 Grandview Dr
Grenada, MS 38901-5066
Phone: (662) 226-5121
Fax: (662) 226-7529
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X

Record details

NPI number1669578894
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shelley Smith — Clinical Director · (662) 226-5121
Other names Grenada Women'S Services
NPI enumeratedSeptember 15, 2006
Last updated in NPPESApril 3, 2012
Mailing address1900 Grandview Dr, Grenada, MS 38901-5066

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