Organization
GREEN MEDICAL AND CONSULTING, LLC
Active
Other names
None
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE PEGGINS NP (NURSE PRACTITIONER/OWNER)
(901) 601-0266
Entity
Organization
Contact information
Practice address
2350 MCINGVALE RD, HERNANDO, MS 38632-8755
(662) 912-6399
Mailing address
2350 MCINGVALE RD, HERNANDO, MS 38632-8755
(662) 912-6399
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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