Individual
DR. GREENE BERRY COLVIN IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7164 HACKS CROSS RD STE 106, OLIVE BRANCH, MS 38654-3919
(662) 895-6455
(662) 895-6460
Mailing address
7164 HACKS CROSS RD STE 106, OLIVE BRANCH, MS 38654-3919
(662) 895-6455
(662) 895-6460
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
15739
MS
207Y00000X
Otolaryngology Physician
MD0000030098
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0119469
—
MS
Enumeration date
08/10/2006
Last updated
02/08/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us