NPI 1598877805

Leander M Grimm, MD

Practitioner Surgery Physician Southaven, MS

Practice location

Address: 401 Southcrest Circle Suite 204, Southaven, MS 38671
Phone: (662) 349-0311
Fax: (662) 349-0121
Mailing address: PO Box 405827, Atlanta, GA 30384-5827

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 12705 (MS)

Other Surgery providers in Mississippi →

Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 20507 (TN)

Registry record

NPI: 1598877805
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 Aug 2006
Record last updated: 20 Oct 2016

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.