Organization
GREENWOOD CLINIC FOR WOMEN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SR EVANS JR. MD (VICE PRESIDENT)
(662) 453-0532
Entity
Organization
Contact information
Practice address
1604 LEFLORE AVE, GREENWOOD, MS 38930
(662) 453-0532
(662) 453-3079
Mailing address
1604 LEFLORE AVE, GREENWOOD, MS 38930
(662) 453-0532
(662) 453-3079
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016047
—
MS
Enumeration date
10/20/2006
Last updated
04/28/2008
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