Unknown Individual – Family Medicine Physician, NPI 1780740183
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1659, East Union Street, Greenville, Washington County, Mississippi, 38703, United States
GREENVILLE, MS 387033267
Phone: (662) 332-4114
Fax: (662) 332-1149
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 38703)
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