| Greene County Clinic Hospital Services | |
|
1017 Jackson Ave Leakesville MS 39451-9105 | |
| (601) 947-8181 | |
| (601) 947-4411 |
| Full Name | Greene County Clinic Hospital Services |
|---|---|
| Speciality | Family Medicine |
| Location | 1017 Jackson Ave, Leakesville, Mississippi |
| Authorized Official Name and Position | Susan M Rutledge (FINANCIAL DIRECTOR) |
| Authorized Official Contact | 6019471330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greene County Clinic Hospital Services Po Box 1007 Lucedale MS 39452-1007 Ph: (601) 947-1330 | Greene County Clinic Hospital Services 1017 Jackson Ave Leakesville MS 39451-9105 Ph: (601) 947-8181 |
| NPI Number | 1467706762 |
|---|---|
| Provider Enumeration Date | 11/08/2012 |
| Last Update Date | 01/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467706762 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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