| Premier Medical Clinic Of Greenville Pc | |
|
1504 Hospital St Greenville MS 38703-3219 | |
| (662) 378-9929 | |
| (662) 378-9926 |
| Full Name | Premier Medical Clinic Of Greenville Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1504 Hospital St, Greenville, Mississippi |
| Authorized Official Name and Position | Katherine Colbert (BUSINESS MANAGER) |
| Authorized Official Contact | 6623328848 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Medical Clinic Of Greenville Pc Po Box 4577 Greenville MS 38704-4577 Ph: (662) 332-8848 | Premier Medical Clinic Of Greenville Pc 1504 Hospital St Greenville MS 38703-3219 Ph: (662) 378-9929 |
| NPI Number | 1568800688 |
|---|---|
| Provider Enumeration Date | 06/11/2013 |
| Last Update Date | 06/11/2013 |
| Medicare PECOS PAC ID | 2365665536 |
|---|---|
| Medicare Enrollment ID | O20140516001120 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568800688 | NPI | - | NPPES |
| 00114839 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 14161 (Mississippi) | Primary |
| Provider Name | Parvez Karim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1275562464 PECOS PAC ID: 9739167024 Enrollment ID: I20040713000199 |
| Provider Name | Geneva Curry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740359892 PECOS PAC ID: 9032171129 Enrollment ID: I20041101000656 |
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