Wesley Dee Granger in Ridgeland - Internal Medicine
Wesley Dee Granger - NPI 1023030426
Wesley Dee Granger is a Internal Medicine in Ridgeland, Mississippi. Wesley Dee Granger practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Wesley Dee Granger is 1023030426. The last update date is 2019-09-24.
Wesley Dee Granger's current location address is 11 Professional Pkwy, Ridgeland, Mississippi. You can contact this provider via phone number 6018562460 and fax number 6018564687. The mailing address for Wesley Dee Granger is 11 Professional Pkwy, Ridgeland, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wesley Dee Granger |
|---|---|
| Address | 11 Professional Pkwy, Ridgeland, Mississippi |
| Phone Number | 6018562460 |
| Fax Number | 6018564687 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1023030426 |
|---|---|
| Provider Enumeration Date | 2006-07-24 |
| Last Updated Date | 2019-09-24 |
Provider Mailing Address Detail
| Address | 11 Professional Pkwy |
|---|---|
| City | Ridgeland |
| State | Mississippi (MS) |
| Post Code | 391574113 |
| Phone Number | 6018562460 |
| Fax Number | 6018564687 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 11037 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 800050346 | MS | UNITED HEALTH CARE | |
| 800050346 | MS | MISSISSIPPI HEALTH PARTNE | |
| 17026 | MS | -- | |
| 800050346 | MS | FEDERAL TAX ID | |
| 800050346 | MS | AETNA |
Post Comment/ Review Below
What is the unique identifier code issued to Wesley Dee Granger by the Centers for Medicare & Medicaid Services?
The Wesley Dee Granger has been assigned the NPI (National Provider Identifier) 1023030426. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Wesley Dee Granger?
The Wesley Dee Granger is physically situated at 11 Professional Pkwy, in the city of Ridgeland, state of MS, with the postal code 391574113.
What is Wesley Dee Granger's area of expertise and its corresponding taxonomy classification?
The Wesley Dee Granger's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1023030426 to Wesley Dee Granger?
The Wesley Dee Granger received its 1023030426 assignment from the Centers for Medicare & Medicaid Services on 2006-07-24.
When was the information related to Wesley Dee Granger most recently updated or refreshed?
The details pertaining to the Wesley Dee Granger, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-09-24.