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Organization

EMERALD WELL, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CENTERIA GREEN WOOLFOLK (OWNER)
(601) 672-9730
Entity
Organization

Contact information

Practice address
930 LAMAR AVE STE 10, YAZOO CITY, MS 39194-3242
(601) 672-9730
Mailing address
3545 FOREST DR, GREENVILLE, MS 38703-8202
(601) 672-9730

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
261QP2300X
Primary Care Clinic/Center

Other

Enumeration date
08/28/2024
Last updated
12/19/2025
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