Doctor Name: | DR. FREDERICK Y. GRANT |
NPI Number: | 1356323190 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 11861 |
Business Practice Address: | 1800 12th St Meridian, MS - 393014158 |
Business Phone Number: | 6017039222 |
Business Fax Number: | 6017036770 |
Mailing Address: | Po Box 5183, MERIDIAN |
State: | MS |
Postal Code: | 393025183 |
Phone Number: | 6017034282 |
Fax Number: | 6017034597 |
NPI Enumeration Date: | 11/17/2005 |
NPI Last Update Date: | 11/06/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | 11861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |