| Green Medical and Consulting, LLC | |
|
2350 Mcingvale Rd Hernando MS 38632-8755 | |
| (662) 912-6399 | |
| Not Available |
| Full Name | Green Medical and Consulting, LLC |
|---|---|
| Speciality | Clinic/center |
| Location | 2350 Mcingvale Rd, Hernando, Mississippi |
| Authorized Official Name and Position | Kristie Peggins (NURSE PRACTITIONER/OWNER) |
| Authorized Official Contact | 9016010266 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Medical and Consulting, LLC 2350 Mcingvale Rd Hernando MS 38632-8755 Ph: (662) 912-6399 | Green Medical and Consulting, LLC 2350 Mcingvale Rd Hernando MS 38632-8755 Ph: (662) 912-6399 |
| NPI Number | 1598538571 |
|---|---|
| Provider Enumeration Date | 11/01/2023 |
| Last Update Date | 11/01/2023 |
| Certification Date | 11/01/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598538571 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | () | Primary |
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