Greenville Primary Care Ii | |
2363 Highway 1 S Greenville MS 38701-8337 | |
(662) 334-1253 | |
(662) 332-0443 |
Full Name | Greenville Primary Care Ii |
---|---|
Speciality | Family Medicine |
Location | 2363 Highway 1 S, Greenville, Mississippi |
Authorized Official Name and Position | Arvis Hawkins (OWNER) |
Authorized Official Contact | 6623341253 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Greenville Primary Care Ii 2363 Highway 1 S Greenville MS 38701-8337 Ph: (662) 334-1253 | Greenville Primary Care Ii 2363 Highway 1 S Greenville MS 38701-8337 Ph: (662) 334-1253 |
NPI Number | 1659591428 |
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Provider Enumeration Date | 04/26/2007 |
Last Update Date | 01/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659591428 | NPI | - | NPPES |
09013897 | Medicaid | MS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 08946 (Mississippi) | Primary |
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