Dr STACIE K GRANTHAM is a female medical professional, specializing in Nurse Practitioner. She graduated in 2008.
WEST TENNESSEE MEDICAL GROUP, INC
620 SKYLINE DR
JACKSON
TN
383013923
Tel: 7315415000
| Npi | 1215175278 |
| Pac Id | 2567510423 |
| Professional Enrollment Id | I20090501000505 |
| Last Name | GRANTHAM |
| First Name | STACIE |
| Middle Name | K |
| Suffix | |
| Gender | F |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2008 |
| Primary Specialty | NURSE PRACTITIONER |
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| Organization Legal Name | WEST TENNESSEE MEDICAL GROUP, INC |
| Group Practice Pac Id | 3971781006 |
| Number Of Group Practice Members | 112 |
| Line 1 Street Address | 620 SKYLINE DR |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | JACKSON |
| State | TN |
| Zip Code | 383013923 |
| Phone Number | 7315415000 |
| Hospital Affiliation Ccn 1 | 440002 |
| Hospital Affiliation Lbn 1 | JACKSON-MADISON COUNTY GENERAL HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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