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Organization

GREENVILLE PRIMARY CARE II

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ARVIS HAWKINS MD (OWNER)
(662) 334-1253
Entity
Organization

Contact information

Practice address
2363 HIGHWAY 1 S, GREENVILLE, MS 38701-8337
(662) 334-1253
(662) 332-0443
Mailing address
2363 HIGHWAY 1 S, GREENVILLE, MS 38701-8337
(662) 334-1253
(662) 332-0443

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
08946
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
09013897
MS
Enumeration date
04/26/2007
Last updated
01/24/2008
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