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
Update your record
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