# THE GREENVILLE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003844978
- **Authorized official:** REGINA E SPRATLIN (ADMINISTRATOR)
- **Authorized official phone:** (662) 379-8104

## Contact information

- **Practice address:** 1502 S COLORADO ST, GREENVILLE, MS 38703-7219
- **Practice address phone:** (662) 332-9872
- **Practice address fax:** (662) 332-9878
- **Mailing address:** 1502 S COLORADO ST, GREENVILLE, MS 38703-7219
- **Mailing address phone:** (662) 332-9872
- **Mailing address fax:** (662) 332-9878

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207U00000X | Nuclear Medicine Physician | — | NULL | — |
| 207U00000X | Nuclear Medicine Physician | — | — | — |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 246XC2903X | Vascular Specialist/Technologist Cardiovascular | — | NULL | — |
| 246XC2903X | Vascular Specialist/Technologist Cardiovascular | — | — | — |
| 2471B0102X | Bone Densitometry Radiologic Technologist | — | NULL | — |
| 2471B0102X | Bone Densitometry Radiologic Technologist | — | — | — |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | NULL | — |
| 2471C3401X | Computed Tomography Radiologic Technologist | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |
| 291U00000X | Clinical Medical Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 03/02/2026