Wesley Dee Granger, MD, PA
Wesley Dee Granger, MD, PA is a Preferred Provider Organization in Ridgeland, 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?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
12 Professional PkwyRidgeland, MS 39157-4113
Phone: (601) 856-2460
Fax: (601) 856-4687
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence 11037 (MS) |
|---|---|
| Point of Service | Taxonomy 305S00000X · Licence 11037 (MS) |
Record details
| NPI number | 1285894378 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Wesley Granger — Owner · (601) 856-2460 |
| Other names | Madison-Ridgeland Medical Clinic |
| NPI enumerated | June 11, 2008 |
| Last updated in NPPES | June 11, 2008 |
| Mailing address | 12 Professional Pkwy, Ridgeland, MS 39157-4113 |