Individual
DR. DAVID N GREENHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. D.
Contact information
Practice address
100 HOSPITAL ST STE 200, BOONEVILLE, MS 38829-3354
(662) 720-3000
(662) 720-3069
Mailing address
PO BOX 788, BOONEVILLE, MS 38829-0788
(662) 720-3000
(662) 720-3069
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
09533
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00012364
—
MS
Enumeration date
12/01/2006
Last updated
11/01/2011
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