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Organization

GREENWOOD LEFLORE HOSPITAL

Active
Other names
North Central MS Urology Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DAWNE HOLMES (CFO)
(662) 459-7119
Entity
Organization

Contact information

Practice address
205 8TH ST, GREENWOOD, MS 38930
(662) 453-6732
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
(662) 455-8052
(662) 455-8053

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
09/23/2014
Last updated
07/02/2018
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