Organization
GREEN TREE FAMILY MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATHY M BYNUM (CLINIC DIRECTOR)
(601) 765-3180
Entity
Organization
Contact information
Practice address
603 MAIN STREET, MT. OLIVE, MS 39119
(601) 797-3405
(601) 797-4707
Mailing address
PO BOX 1107, MOUNT OLIVE, MS 39119-1107
(601) 797-3405
(601) 797-3405
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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