Justice Gondwe, M.D

NPI 1912928086 · on the registry since 2006 · sole proprietor

Practice

Address: 965 J K Avent Dr
Suite 106
Grenada, MS 38901
Phone: (662) 227-6450
Fax: (662) 227-6452
Organisation at this address: Liza De Olazo Banaag, M. D., P. A.
Grenada Adult Healthcare Clinic Pc.
Inferred from a shared address, not stated in the registry.

Additional practice sites

7601 Southcrest Pkwy, Southaven, MS

Registry record

Primary taxonomy: 207RI0200X
207RI0200X
Licence states on file: MS
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2025-04-21

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