Organization
GREENVILLE SURGICAL CLINIC
Active
Other names
Greenville Surgical clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILIP D DOOLITTLE MD (OWNER)
(662) 335-9283
Entity
Organization
Contact information
Practice address
1214 HOSPITAL ST, GREENVILLE, MS 38703-3213
(662) 335-9283
(662) 334-6989
Mailing address
PO BOX 4499, GREENVILLE, MS 38704-4499
(662) 335-9283
(662) 334-6989
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
1601
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07975534
—
MS
Enumeration date
04/03/2007
Last updated
08/10/2009
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