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Organization
BOONEVILLE INTERNAL MEDICINE PC
Active
Organization
BOONEVILLE INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID N GREENHAW MD (OWNER)
(662) 720-3000
Entity
Organization
Contact information
Practice address
100 HOSPITAL ST, SUITE 200, BOONEVILLE, MS 38829-3354
(662) 720-3000
(662) 720-3069
Mailing address
PO BOX 788, BOONEVILLE, MS 38829-0788
(662) 720-3000
(662) 720-3069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09533
MS
Other
Enumeration date
07/04/2009
Last updated
07/04/2009
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