Green Medical And Consulting, Llc | |
2350 Mcingvale Rd Hernando MS 38632-8755 | |
(662) 912-6399 | |
Not Available |
Full Name | Green Medical And Consulting, Llc |
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Speciality | Clinic/center |
Location | 2350 Mcingvale Rd, Hernando, Mississippi |
Authorized Official Name and Position | Kristie Peggins (NURSE PRACTITIONER/OWNER) |
Authorized Official Contact | 9016010266 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Green Medical And Consulting, Llc 2350 Mcingvale Rd Hernando MS 38632-8755 Ph: (662) 912-6399 | Green Medical And Consulting, Llc 2350 Mcingvale Rd Hernando MS 38632-8755 Ph: (662) 912-6399 |
NPI Number | 1598538571 |
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Provider Enumeration Date | 11/01/2023 |
Last Update Date | 11/01/2023 |
Identifier | Type | State | Issuer |
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1598538571 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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