# GREEN MEDICAL AND CONSULTING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** None
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598538571
- **Authorized official:** KRISTIE PEGGINS NP (NURSE PRACTITIONER/OWNER)
- **Authorized official phone:** (901) 601-0266

## Contact information

- **Practice address:** 2350 MCINGVALE RD, HERNANDO, MS 38632-8755
- **Practice address phone:** (662) 912-6399
- **Mailing address:** 2350 MCINGVALE RD, HERNANDO, MS 38632-8755
- **Mailing address phone:** (662) 912-6399

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/01/2023
- **Last updated:** 11/01/2023