Individual provider · Type 1 NPI

Bruce Grissom Jr.

Family Medicine Physician · Purvis, MS

NPI number 1720513617 Active

Practice location

102 Shelby Speights Dr
Purvis, MS 39475-4151

Fax (601) 794-5650

Mailing address

415 S 28th Ave
Hattiesburg, MS 39401-7246

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X27862 (MS)

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1720513617

Bruce Grissom Jr.'s National Provider Identifier is 1720513617, issued on Apr 27, 2017. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Purvis, MS. The record was last updated on Aug 27, 2020.