Green Tree Family Medical Clinic | |
603 Main Street Mt. Olive MS 39119 | |
(601) 797-3405 | |
(601) 797-4707 |
Full Name | Green Tree Family Medical Clinic |
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Speciality | Clinic/center - Rural Health |
Location | 603 Main Street, Mt. Olive, Mississippi |
Authorized Official Name and Position | Kathy M Bynum (CLINIC DIRECTOR) |
Authorized Official Contact | 6017653180 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Green Tree Family Medical Clinic Po Box 1107 Mount Olive MS 39119-1107 Ph: (601) 797-3405 | Green Tree Family Medical Clinic 603 Main Street Mt. Olive MS 39119 Ph: (601) 797-3405 |
NPI Number | 1770741191 |
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Provider Enumeration Date | 06/02/2008 |
Last Update Date | 06/02/2008 |
Identifier | Type | State | Issuer |
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1770741191 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Green Tree Family Medical Clinic Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 603 South Main Street, Mt. Olive, MS 39119 Phone: 601-797-3405 |