# GREENVILLE PRIMARY CARE II

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

## Provider details

- **NPI number:** 1659591428
- **Authorized official:** DR. ARVIS HAWKINS MD (OWNER)
- **Authorized official phone:** (662) 334-1253

## Contact information

- **Practice address:** 2363 HIGHWAY 1 S, GREENVILLE, MS 38701-8337
- **Practice address phone:** (662) 334-1253
- **Practice address fax:** (662) 332-0443
- **Mailing address:** 2363 HIGHWAY 1 S, GREENVILLE, MS 38701-8337
- **Mailing address phone:** (662) 334-1253
- **Mailing address fax:** (662) 332-0443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 08946 | MS | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 01/24/2008