| NPI | 1225287154 |
|---|---|
| Doing Business As | GREENWOOD URGENT CLINIC |
| Entity Type | Organization |
| Authorized Contact | KENNY JOE MANION CEO/Owner 270-651-7796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Enumeration Date | 2008-09-16 |
| Last Update Date | 2008-09-16 |