Individual
DR. CHRISTOPHER EDMUND GREENLEAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6603
(601) 984-5110
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-6603
(601) 984-5110
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MT197346
PA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
23911
MS
Other
Enumeration date
09/07/2010
Last updated
07/24/2015
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