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TIFFANI L GRANT, LD – NPI #1770770117
Nutrition, Education

NPI Profile for TIFFANI L GRANT in JACKSON, MS.

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Contact Information

TIFFANI L GRANT, LD
2500 NORTH STATE STREET
DEPARTMENT OF MEDICINE/DIVISION OF GENERAL INTERNAL MED
JACKSON, MS  39216-4500
 Phone: 601-984-5660
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Nutrition, Education

 133NN1002X
Indicates primary specialty

NPI Profile & details for TIFFANI L GRANT · (Female)

NPI # 1770770117
Status Active
Credentials LD
Entity Individual
Enumeration date 10/01/2007
Last updated 06/23/2009 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • MS License # D1248
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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