NPI

Telitha K Grant-Spencer

NPI 1851570006

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
MD
Type
Individual
Enumeration date
2007-10-24
Last updated
2025-04-30

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Specialties

Licenses

License LA
MD.200333
License MS
24502

Location

Practice location
1488 Hwy 487
City
Sebastopol MS
Postal code
39359-0150
Phone
(601) 625-7403

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Sebastopol, MS. 22 records in the public file.

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