Organization
GREENWOOD LEFLORE HOSPITAL
Active
Other names
Greenwood OB/GYN Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DAWNE HOLMES (CFO)
(662) 459-7119
Entity
Organization
Contact information
Practice address
203 9TH ST, GREENWOOD, MS 38930
(662) 459-1367
Mailing address
PO BOX 1410, GREENWOOD, MS 38935-1410
(662) 459-1367
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261Q00000X
Clinic/Center
—
—
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09016111
—
MS
Enumeration date
03/16/2006
Last updated
01/12/2022
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