| NPI | 1861763260 |
|---|---|
| Doing Business As | GREENWOOD UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES H. JACKSON CEO 662-469-2603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |