National Provider Identifier Database

WESLEY DEE GRANGER MD PA
Preferred Provider Organization

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.


Contact Information

WESLEY DEE GRANGER, M.D., P.A.
12 PROFESSIONAL PKWY
RIDGELAND, MS39157-4113
Phone: 601-856-2460
Fax: 601-856-4687
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X
Point of Service 305S00000X

* Indicates primary specialty

NPI Profile & details for WESLEY DEE GRANGER, M.D., P.A.

NPI Number 1285894378
Legal business name
LBN
WESLEY DEE GRANGER, M.D., P.A.
Authorized official WESLEY GRANGER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 06/11/2008
Last updated 06/11/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MS License #: 11037
  • MS Medicaid: 00017026

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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