NPI 1942439518

Booneville Internal Medicine PC

Organisation Internal Medicine Physician Booneville, MS

Practice location

Address: 100 Hospital St Suite 200, Booneville, MS 38829-3354
Phone: (662) 720-3000
Fax: (662) 720-3069
Mailing address: PO Box 788, Booneville, MS 38829-0788

Authorised official

Name: David N Greenhaw
Title: Owner
Phone: (662) 720-3000

Registered specialties

Internal Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 09533 (MS)

Other Internal Medicine providers in Mississippi →

Registry record

NPI: 1942439518
Entity type: Organization
NPI issued: 4 Jul 2009
Record last updated: 4 Jul 2009

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.