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Organization
GREENWOOD LEFLORE HOSPTIAL
Active
Organization
GREENWOOD LEFLORE HOSPTIAL
Active
Other names
Greenwood Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES H. JACKSON JR. (CEO)
(662) 469-2603
Entity
Organization
Contact information
Practice address
205 8TH ST, GREENWOOD, MS 38930-4011
(662) 453-6732
(662) 453-6734
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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