Organization
GREENFIELD FAMILY HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LADONNA AYCOCK DUNN (PRACTITIONER/OWNER/PRESIDENT)
(601) 824-0988
Entity
Organization
Contact information
Practice address
762 HIGHWAY 468, BRANDON, MS 39042-9058
(601) 824-0988
(601) 824-0987
Mailing address
762 HIGHWAY 468, BRANDON, MS 39042-9058
(601) 824-0988
(601) 824-0987
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R624055
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0120346
—
MS
Enumeration date
02/08/2012
Last updated
02/08/2012
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