NPI | 1598946667 |
---|---|
Doing Business As | GREENVILLE FAMILY CLINIC |
Entity Type | Organization |
Authorized Contact | PAM G MADDOX Office Manager 662-378-0283 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: MS 11843) |
Enumeration Date | 2007-11-16 |
Last Update Date | 2012-01-26 |