Organization · Type 2 NPI
Southside Medical Clinic, LLC
Primary Care Clinic/Center · Grenada, MS
NPI number
1386470367
Active
Practice location
3800 Commerce St
Grenada, MS 38901
Mailing address
86 Bakers Gate
Grenada, MS 38901-9775
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Grenada
About NPI 1386470367
Southside Medical Clinic, LLC's National Provider Identifier is 1386470367, issued on Sep 9, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Grenada, MS. The record was last updated on Sep 9, 2024.