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Organization
GREENWOOD LEFLORE HOSPITAL
Active
Organization
GREENWOOD LEFLORE HOSPITAL
Active
Other names
Leflore Specialty Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNE HOLMES (CFO)
(662) 459-7119
Entity
Organization
Contact information
Practice address
1401 RIVER RD, GREENWOOD, MS 38930-4030
(662) 451-7881
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
(662) 459-7881
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
NULL
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
NULL
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
NULL
207RP1001X
Pulmonary Disease Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/15/2006
Last updated
01/14/2022
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