Organization
GREENWOOD LEFLORE HOSPTIAL
Active
Other names
Greenwood Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES H. JACKSON JR. (CEO)
(662) 469-2603
Entity
Organization
Contact information
Practice address
205 8TH ST, GREENWOOD, MS 38930-4011
(662) 453-6732
(662) 453-6734
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
Other
Enumeration date
01/18/2012
Last updated
01/18/2012
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