Wesley Dee Granger, M.D., P.A. in Ridgeland - Point Of Service
Wesley Dee Granger, M.D., P.A. - NPI 1285894378
Wesley Dee Granger, M.D., P.A. is a Point Of Service in Ridgeland, Mississippi. Wesley Dee Granger, M.D., P.A. practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Wesley Dee Granger, M.D., P.A. is 1285894378. The last update date is 2008-06-11.
Wesley Dee Granger, M.D., P.A.'s current location address is 12 Professional Pkwy, Ridgeland, Mississippi. You can contact this provider via phone number 6018562460 and fax number 6018564687. The mailing address for Wesley Dee Granger, M.D., P.A. is 12 Professional Pkwy, Ridgeland, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wesley Dee Granger, M.D., P.A. |
|---|---|
| Address | 12 Professional Pkwy, Ridgeland, Mississippi |
| Phone Number | 6018562460 |
| Fax Number | 6018564687 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Granger Dee Wesley |
| Credentials | M.D. |
| Telephone Number | 6018562460 |
NPI Number Detail
| NPI Number | 1285894378 |
|---|---|
| Provider Enumeration Date | 2008-06-11 |
| Last Updated Date | 2008-06-11 |
Provider Mailing Address Detail
| Address | 12 Professional Pkwy |
|---|---|
| City | Ridgeland |
| State | Mississippi (MS) |
| Post Code | 391574113 |
| Phone Number | 6018562460 |
| Fax Number | 6018564687 |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
| Licence No | 11037 |
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Definition: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 17026 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Wesley Dee Granger, M.D., P.A.?
The Wesley Dee Granger, M.D., P.A. has been issued the NPI (National Provider Identifier) 1285894378 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Wesley Dee Granger, M.D., P.A. is physically located?
The Wesley Dee Granger, M.D., P.A. is situated at the following address: 12 Professional Pkwy, Ridgeland, MS 391574113.
What is Wesley Dee Granger, M.D., P.A.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wesley Dee Granger, M.D., P.A. is Point Of Service, and the corresponding taxonomy classification code for this specialized field is 305S00000X.
On what date did the Wesley Dee Granger, M.D., P.A. receive the assignment of its 1285894378 from the Centers for Medicare & Medicaid Services?
The Wesley Dee Granger, M.D., P.A. was issued its 1285894378 by the Centers for Medicare & Medicaid Services on 2008-06-11.
As of what date was the information regarding Wesley Dee Granger, M.D., P.A., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Wesley Dee Granger, M.D., P.A., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-06-11.
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