Organization
EMS CLINIC
Active
Parent organization
GREENWOOD CLINIC FOR WOMEN;PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENWOOD CLINIC FOR WOMEN;PLLC
Authorized official
SR EVANS JR. MD (VICE PRESIDENT)
(662) 453-0532
Entity
Organization
Contact information
Practice address
1509 STRONG AVE, GREENWOOD, MS 38930
(662) 455-4411
(662) 455-9870
Mailing address
1509 STRONG AVE, GREENWOOD, MS 38930
(662) 455-4411
(662) 455-9870
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09013939
—
MS
Enumeration date
10/20/2006
Last updated
04/28/2008
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