DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LEANDER M GRIMM, M.D.

Active Sole Proprietor

General Surgery · SOUTHAVEN, MS

Registration Details

NPI Number
1598877805
Provider Type
Individual
Gender
Male
NPI Issued
Aug 31, 2006 (19.682180895785 yrs)
Last Updated
Oct 20, 2016
Licenses
12705 (MS)
20507 (TN)
Sole Proprietor
Yes

Practice Information

Address
401 SOUTHCREST CIRCLE
SUITE 204
SOUTHAVEN, MS, 38671
Browse MS providers · Browse ZIP 38671
Phone
6623490311
Fax
6623490121
Primary Specialty
General Surgery
208600000X
Additional Specialty
General Surgery

Other General Surgery Providers in SOUTHAVEN, MS

Name Credential NPI
DR. JASON WAYNE HINDMAN M.D. 1033170535
DANIEL B FORE M.D. 1407969843
DR. JAMES EVERETT FORTUNE M.D. 1861538951
KARAN KAMAL BATH M.D. 1396909156
ALYSSA JAMESON WIER M.D. 1215299656
AMBER MECHELLE JAMES 1972130029
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.