NPI 1679802946 · live from the CMS NPI Registry
Greenwood Leflore Hospital
Internal Medicine, Gastroenterology in Greenwood, MS. National Provider Identifier 1679802946, active.
NPI record
| NPI | 1679802946 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 202 W Park Ave, Greenwood, MS 38930 |
| Practice phone | 662-455-8058 |
| Mailing address | Po Box 1410, Greenwood, MS 38935 |
| Enumerated | December 16, 2009 |
| Last updated | July 2, 2018 |
| Authorized official | Dawne Holmes, Cfo |
| Other names | Greenwood Gastroenterology Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.