Organization
GREEN COUNTRY MEDICAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERYL NEELY (RN)
(918) 273-0140
Entity
Organization
Contact information
Practice address
712 E OSAGE AVE, NOWATA, OK 74048-3638
(918) 273-0140
(918) 273-0147
Mailing address
712 E OSAGE AVE, NOWATA, OK 74048-3638
(918) 273-0140
(918) 273-0147
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/04/2007
Last updated
06/21/2018
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