Search › Mississippi › 363LF0000X
Crystal Grantham
NPI 1336633791 · on the registry since 2018
Practice
- Address
- 210 Bay Ave
Richton, MS 39476 - Phone
- (601) 788-9222
- Fax
- (601) 788-6318
- Organisation at this address
- Forrest County General Hospital
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 4
Additional practice sites
- 178 Highway 24 E, Centreville, MS
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-06-12
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Mississippi