institution
The Greenville Clinic
Multi-Specialty Clinic/Center in Greenville, Mississippi
NPI 1003844978

The Greenville Clinic is a Multi-Specialty Clinic/Center based in Greenville, MS and is specialized in Multi-Specialty. The Greenville Clinic practices in Greenville, MS. The NPI Number for The Greenville Clinic is 1003844978 and holds a License No. (Mississippi).

The current practice location address for The Greenville Clinic is 1502 S Colorado St, Greenville, MS and can be reached out via phone at 662-332-9872 and via fax at 662-332-9878.

Location: 1502 S Colorado St, Greenville, MS, 38703-7219
institution
Provider Profile Details
NPI Number
1003844978
Provider Name
The Greenville Clinic
Credential
Provider Entity Type
Organization
Address
1502 S Colorado St, Greenville, MS, 38703-7219
Phone Number
662-332-9872
Fax Number
662-332-9878
Provider Enumeration Date
06/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2500316731 01 MS CLIA
9014413 05 MS
CD3504 01 MS RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1502 S Colorado St
City
State
Zip
38703-7219
Phone Number
662-332-9872
Fax Number
662-332-9878
person
Provider Business Mailing Address Details
Address
1502 S Colorado St
City
State
Zip
38703-7219
Phone Number
662-332-9872
Fax Number
662-332-9878
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
License No.
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Definition
Definition to come...
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