| Green Tree Family Medical Clinic | |
|
603 Main Street Mt. Olive MS 39119 | |
| (601) 797-3405 | |
| (601) 797-4707 |
| Full Name | Green Tree Family Medical Clinic |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 603 Main Street, Mt. Olive, Mississippi |
| Authorized Official Name and Position | Kathy M Bynum (CLINIC DIRECTOR) |
| Authorized Official Contact | 6017653180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Tree Family Medical Clinic Po Box 1107 Mount Olive MS 39119-1107 Ph: (601) 797-3405 | Green Tree Family Medical Clinic 603 Main Street Mt. Olive MS 39119 Ph: (601) 797-3405 |
| NPI Number | 1770741191 |
|---|---|
| Provider Enumeration Date | 06/02/2008 |
| Last Update Date | 06/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770741191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Covington County Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 603 South Main Street, Mt. Olive, MS 39119 Phone: 601-797-3405 |