# BOONEVILLE INTERNAL MEDICINE PC

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

## Provider details

- **NPI number:** 1942439518
- **Authorized official:** DR. DAVID N GREENHAW MD (OWNER)
- **Authorized official phone:** (662) 720-3000

## Contact information

- **Practice address:** 100 HOSPITAL ST, SUITE 200, BOONEVILLE, MS 38829-3354
- **Practice address phone:** (662) 720-3000
- **Practice address fax:** (662) 720-3069
- **Mailing address:** PO BOX 788, BOONEVILLE, MS 38829-0788
- **Mailing address phone:** (662) 720-3000
- **Mailing address fax:** (662) 720-3069

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 09533 | MS | Yes |

## Other

- **Enumeration date:** 07/04/2009
- **Last updated:** 07/04/2009