Organization
CLEVELAND CHILDREN'S CLINIC, PLLC
Active
Other names
Greenville Children's Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE BREVIL EDD (EXECUTIVE DIRECTOR)
(662) 579-3449
Entity
Organization
Contact information
Practice address
1431 S COLORADO ST, GREENVILLE, MS 38703-7243
(662) 579-3449
Mailing address
PO BOX 60, CLEVELAND, MS 38732-0060
(662) 579-3449
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
09/06/2023
Last updated
10/19/2023
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