Whalio Doctors

NPI 1568660744

Southern Healthcare Providers

Organisation Ph.D. Medical Genetics Greenwood, MS

Practice location

Address
1401 River Rd, Greenwood, MS 38930-4030
Phone
(770) 429-1411
Fax
(770) 429-1951
Mailing address
PO Box 18394, Natchez, MS 39122-8394

Authorised official

Name
Roderick C Givens
Title
President
Phone
(770) 429-1411

Registered specialties

Ph.D. Medical Genetics Primary
Other Service Providers Taxonomy 170100000X Licence 14914 (MS)

Registry record

NPI
1568660744
Entity type
Organization
NPI issued
10 Jul 2007
Record last updated
10 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.