# GREENWOOD LEFLORE HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greenwood Gastroenterology Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679802946
- **Authorized official:** DAWNE HOLMES (CFO)
- **Authorized official phone:** (662) 459-7119

## Contact information

- **Practice address:** 202 W PARK AVE, GREENWOOD, MS 38930
- **Practice address phone:** (662) 455-8058
- **Mailing address:** PO BOX 1410, GREENWOOD, MS 38935-1410
- **Mailing address phone:** (662) 455-8058

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RG0100X | Gastroenterology Physician | — | NULL | Yes |
| 207RG0100X | Gastroenterology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/16/2009
- **Last updated:** 07/02/2018