Granger, Wesley Dee

Granger, Wesley Dee is an individual health care provider with primary practice located at 11 Professional Pkwy , Ridgeland MS 39157-4113. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Granger, Wesley Dee can be contacted via phone (601) 856-2460.

Contact Information

Primary practice address
11 Professional Pkwy Ridgeland MS 39157-4113
Phone: (601) 856-2460
Fax: (601) 856-4687
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11037 Mississippi

Profile Details

NPI number 1023030426
LBN Legal business name Granger, Wesley Dee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Sep 24th, 2019 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023030426 NPPES
Mississippi Other 800050346 UNITED HEALTH CARE
Mississippi Other 800050346 UNITED HEALTH CARE
Mississippi MEDICAID 0017026 UNITED HEALTH CARE
Mississippi Other 800050346 UNITED HEALTH CARE
Mississippi Other 800050346 UNITED HEALTH CARE

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