Organization
GREEN COUNTRY MEDICAL, INC.
Active
Other names
Green Country Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL NEELY (RN)
(918) 273-0140
Entity
Organization
Contact information
Practice address
228 WILLOW, SOUTH COFFEYVILLE, OK 74072
(918) 255-6000
Mailing address
228 WILLOW, SOUTH COFFEYVILLE, OK 74072
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/17/2007
Last updated
10/30/2007
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