Organization
GREENWOOD ANESTHESIA & PAIN MGMT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD BESSELIEVRE M.D. (PRESIDENT)
(800) 222-1335
Entity
Organization
Contact information
Practice address
1401 RIVER RD, ANESTHESIA DEPARTMENT, GREENWOOD, MS 38930-4030
(662) 459-7000
Mailing address
29 CREAMERY LN, EASTON, MD 21601-3137
(800) 222-1335
(410) 819-0712
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
16017
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08074314
—
MS
Enumeration date
11/09/2005
Last updated
03/27/2012
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