| Emerald Well, PLLC | |
|
930 Lamar Ave Ste 10 Yazoo City MS 39194-3242 | |
| (601) 672-9730 | |
| Not Available |
| Full Name | Emerald Well, PLLC |
|---|---|
| Speciality | Family Medicine |
| Location | 930 Lamar Ave Ste 10, Yazoo City, Mississippi |
| Authorized Official Name and Position | Centeria Green Woolfolk (OWNER) |
| Authorized Official Contact | 6016729730 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Emerald Well, PLLC 3545 Forest Dr Greenville MS 38703-8202 Ph: (601) 672-9730 | Emerald Well, PLLC 930 Lamar Ave Ste 10 Yazoo City MS 39194-3242 Ph: (601) 672-9730 |
| NPI Number | 1659105955 |
|---|---|
| Provider Enumeration Date | 08/28/2024 |
| Last Update Date | 12/19/2025 |
| Certification Date | 12/19/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659105955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 261QP2300X | Clinic/center - Primary Care | () | Secondary |
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