Grantham, William M
Grantham, William M is an individual health care provider with primary practice located at 498 Highway 80 E , Clinton MS 39056-4720. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Grantham, William M can be contacted via phone (601) 924-4000.Contact Information
Primary practice address
498 Highway 80 E
Clinton MS 39056-4720
Phone: (601) 924-4000
Fax: (601) 924-3360
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12116 | Mississippi |
Profile Details
| NPI number | 1225048291 |
|---|---|
| LBN Legal business name | Grantham, William M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1225048291 | NPPES |
| Mississippi | MEDICAID | 0122355 |
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