| Nw Mississippi Kidney Center | |
|
1997 S. Medical Park Drive Greenville MS 38703-7268 | |
| (662) 335-4105 | |
| (662) 378-2879 |
| Full Name | Nw Mississippi Kidney Center |
|---|---|
| Speciality | Internal Medicine - Nephrology |
| Location | 1997 S. Medical Park Drive, Greenville, Mississippi |
| Authorized Official Name and Position | Lisa Thomas Hearn (MANAGER) |
| Authorized Official Contact | 6623354105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nw Mississippi Kidney Center 1997 S. Medical Park Drive Greenville MS 38703-7268 Ph: (662) 335-4105 | Nw Mississippi Kidney Center 1997 S. Medical Park Drive Greenville MS 38703-7268 Ph: (662) 335-4105 |
| NPI Number | 1467481317 |
|---|---|
| Provider Enumeration Date | 07/02/2006 |
| Last Update Date | 01/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467481317 | NPI | - | NPPES |
| 09014144 | Medicaid | MS |
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