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Organization

GREENWOOD LEFLORE HOSPITAL

Active
Other names
GORTON CLINIC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JERRY ADAMS (CEO)
(662) 459-7000
Entity
Organization

Contact information

Practice address
1401 RIVER RD, ATTN CLINIC ADMINISTRATION, GREENWOOD, MS 38930-4030
(662) 459-7189
(662) 459-1147
Mailing address
PO BOX 1410, ATTN CLINIC ADMINISTRATION, GREENWOOD, MS 38935-1410
(662) 459-7189
(662) 459-1147

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09014025
MS
Enumeration date
03/15/2006
Last updated
08/25/2008
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