| Booneville Internal Medicine Pc | |
|
100 Hospital St Suite 200 Booneville MS 38829-3354 | |
| (662) 720-3000 | |
| (662) 720-3069 |
| Full Name | Booneville Internal Medicine Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Hospital St, Booneville, Mississippi |
| Authorized Official Name and Position | David N Greenhaw (OWNER) |
| Authorized Official Contact | 6627203000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Booneville Internal Medicine Pc Po Box 788 Booneville MS 38829-0788 Ph: (662) 720-3000 | Booneville Internal Medicine Pc 100 Hospital St Suite 200 Booneville MS 38829-3354 Ph: (662) 720-3000 |
| NPI Number | 1942439518 |
|---|---|
| Provider Enumeration Date | 07/04/2009 |
| Last Update Date | 07/04/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942439518 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 09533 (Mississippi) | Primary |
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