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Organization
EMERALD WELL, PLLC
Active
Organization
EMERALD WELL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CENTERIA GREEN WOOLFOLK (OWNER)
(601) 672-9730
Entity
Organization
Contact information
Practice address
930 LAMAR AVE STE 10, YAZOO CITY, MS 39194-3242
(601) 672-9730
Mailing address
3545 FOREST DR, GREENVILLE, MS 38703-8202
(601) 672-9730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
—
NULL
Other
Enumeration date
08/28/2024
Last updated
12/19/2025
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