| |
201 E Washington St Greenwood MS 38930-4407 | |
(662) 459-7000 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine - Gastroenterology |
Location | 201 E Washington St, Greenwood, Mississippi |
Authorized Official Name and Position | Jerry Adams (CEO) |
Authorized Official Contact | 6624597000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1410 Attn: Clinic Administration Greenwood MS 38935-1410 Ph: (662) 459-1187 | 201 E Washington St Greenwood MS 38930-4407 Ph: (662) 459-7000 |
NPI Number | 1689633950 |
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Provider Enumeration Date | 03/23/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1689633950 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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