Greenville Surgical Clinic in Greenville - Surgery

Greenville Surgical Clinic - NPI 1013038330

Greenville Surgical Clinic is a Surgery in Greenville, Mississippi. Greenville Surgical Clinic practices all healthcare services and medical treatments related to Surgery. The NPI Number for Greenville Surgical Clinic is 1013038330. The last update date is 2009-08-10.

Greenville Surgical Clinic's current location address is Po Box 4499, Greenville, Mississippi. You can contact this provider via phone number 6623359283 and fax number 6623346989. The mailing address for Greenville Surgical Clinic is Po Box 4499, Greenville, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Greenville Surgical Clinic
Address Po Box 4499, Greenville, Mississippi
Phone Number 6623359283
Fax Number 6623346989
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Doolittle D Philip
Credentials MD
Telephone Number 6623359283

NPI Number Detail

NPI Number 1013038330
Provider Enumeration Date 2007-04-03
Last Updated Date 2009-08-10

Provider Mailing Address Detail

Address Po Box 4499
City Greenville
State Mississippi (MS)
Post Code 387044499
Phone Number 6623359283
Fax Number 6623346989

Provider's Primary Taxonomy Detail

Speciality Surgery
Taxonomy 208600000X
Licence No 1601
Definition:
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue;

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7975534 MS --

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FAQs about Greenville Surgical Clinic

What is the unique 10-digit identification code assigned to Greenville Surgical Clinic by the Centers for Medicare & Medicaid Services?

The Greenville Surgical Clinic has been issued the NPI (National Provider Identifier) 1013038330, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Greenville Surgical Clinic?

The Greenville Surgical Clinic is physically situated at Po Box 4499, in the city of Greenville, state of MS, with the postal code 387044499.

What is Greenville Surgical Clinic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Greenville Surgical Clinic is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1013038330 to Greenville Surgical Clinic?

The Centers for Medicare & Medicaid Services assigned the 1013038330 to Greenville Surgical Clinic on 2007-04-03.

As of what date was the information pertaining to Greenville Surgical Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Greenville Surgical Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-08-10.

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