Organization
GREENE COUNTY CLINIC HOSPITAL SERVICES
Active
Parent organization
GREENE COUNTY FAMILY MEDICAL CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENE COUNTY FAMILY MEDICAL CLINIC
Authorized official
SUSAN M RUTLEDGE (FINANCIAL DIRECTOR)
(601) 947-1330
Entity
Organization
Contact information
Practice address
1017 JACKSON AVE, LEAKESVILLE, MS 39451-9105
(601) 947-8181
(601) 947-4411
Mailing address
PO BOX 1007, LUCEDALE, MS 39452-1007
(601) 947-1330
(601) 947-1331
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/08/2012
Last updated
01/17/2017
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