Organization
GREENE AREA MEDICAL EXTENDERS, INC
Active
Other names
Friends of Children Union
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA SNELL (OFFICE MANAGER)
(601) 394-2381
Entity
Organization
Contact information
Practice address
37765 HIGHWAY 63N, RICHTON, MS 39476
(601) 989-2734
Mailing address
P O BOX 160, LEAKESVILLE, MS 39451-0160
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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