Organization
GREENWOOD LEFLORE HOSPITAL
Active
Other names
Greenwood Orthopedic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNE HOLMES (CFO)
(662) 459-2603
Entity
Organization
Contact information
Practice address
204 8TH ST, GREENWOOD, MS 38930-4012
(662) 453-0504
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
(662) 453-0504
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015210
—
MS
Enumeration date
03/23/2006
Last updated
05/07/2018
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