Greenville Surgical Clinic

NPI 1013038330 - Surgery - 208600000X

NPI Details
NPI 1013038330
Enumeration Date 04/03/2007
Last Updated 08/10/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PHILIP D PHILIP
Position OWNER
Phone (662) 335-9283
Fax (662) 334-6989
Practice Location
1214 HOSPITAL ST
GREENVILLE MS, 38703-3213, US
Phone (662) 335-9283
Fax (662) 334-6989
Business Location
PO BOX 4499
GREENVILLE MS, 38704-4499, US
Phone (662) 335-9283
Fax (662) 334-6989
Toxanomy
Taxonomy Code 208600000X
License State Mississippi
License Number 1601
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According to our database, Greenville Surgical Clinic NPI is 1013038330, taxonomy code is 208600000X and license number is 1601, license state is located at Mississippi. Greenville Surgical Clinic physically located at 1214 Hospital St, Greenville MS, 38703-3213. NPI Number 1033115704 has the healthcare provider type.

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1013038330 NPI number is provided on an as is basis without warranty of any kind. 1013038330 is maintained by the National Plan & Provider Enumeration System. The contents of Greenville Surgical Clinic are for informational purposes only.