NPI 1861763260

Greenwood Leflore Hosptial

Organisation Urology Physician Greenwood, MS

Practice location

Address: 205 8th St, Greenwood, MS 38930-4011
Phone: (662) 453-6732
Fax: (662) 453-6734
Mailing address: PO Box 1410, Greenwood, MS 38935-1410

Authorised official

Name: James H. Jackson
Title: Ceo
Phone: (662) 469-2603

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Mississippi →

Registry record

NPI: 1861763260
Entity type: Organization
NPI issued: 18 Jan 2012
Record last updated: 18 Jan 2012

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.