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

Mal S Riddell, DO Clinic

Organization Family Medicine Physician · NPI 1962634170

Mal S Riddell, DO Clinic is a Family Medicine Physician in Grenada, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009

Practice location Address checks out

1300 Sunset Dr Ste B
Grenada, MS 38901-4086
Phone: (662) 226-6430
Fax: (662) 226-0018
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 08590 (MS)

Record details

NPI number1962634170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mal Riddell — Owner · (662) 226-6430
NPI enumeratedAugust 20, 2009
Last updated in NPPESJanuary 6, 2017
Mailing address1300 Sunset Dr, Suite B, Grenada, MS 38901-4086

Other providers in Grenada