Organization
GREENE AREA MEDICAL EXTENDERS, INC
Active
Organization
GREENE AREA MEDICAL EXTENDERS, INC
Active
Other names
Friends of Children State Line
Organization subpart
No
Provider details
NPI number
Authorized official
JOE DAWSEY (EXECUTIVE DIRECTOR)
(601) 394-2381
Entity
Organization
Contact information
Practice address
82 CHURCH STREET, STATE LINE, MS 39451
(601) 848-7650
Mailing address
P O BOX 160, LEAKESVILLE, MS 39451-0160
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
MS
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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