NPI 1033975420

Grant Family Medical LLC

Organisation General Practice Physician Tupelo, MS

Practice location

Address: 805 Varsity Dr, Tupelo, MS 38801-4615
Phone: (484) 252-6707
Mailing address: 206 Maynard Dr, Tupelo, MS 38801-4324

Authorised official

Name: Dana L Grant
Title: Owner/Nurse Practitioner
Phone: (484) 252-6707

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Mississippi →

Registry record

NPI: 1033975420
Entity type: Organization
NPI issued: 23 Feb 2024
Record last updated: 23 Feb 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.