Wesley Dee Granger, M.d., P.a., NPI 1285894378
Preferred Provider Organization in Ridgeland, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1285894378
NPI Entity Type Organization
Provider Name Wesley Dee Granger, M.d., P.a.
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 12 Professional Pkwy, Ridgeland, MS, US
Provider Mailing Address 12 Professional Pkwy, Ridgeland, MS, US, 391574113
Is Sole Proprietor? No
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Organization Official

Official Name M.D. Wesley Dee Granger
Official Position OWNER
Phone 601-856-2460

Primary Taxonomy

Taxonomy Code

305R00000X

Taxonomy Name Preferred Provider Organization
Classification

Preferred Provider Organization

Group

Managed Care Organizations

License No. 11037
License State MS
Description A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.

Other Organization Name

Madison-Ridgeland Medical Clinic
Other Name

Business Address

Wesley Dee Granger, M.d., P.a.
12 Professional Pkwy

Ridgeland, MS, US

Phone: 601-856-2460
Fax: 601-856-4687

Mailing Address

Wesley Dee Granger, M.d., P.a.
12 Professional Pkwy
Ridgeland, MS, US
ZIP 391574113
Phone: 601-856-2460
Fax: 601-856-4687

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

305S00000X

Managed Care Organizations

Point of Service

11037 MS No

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