| Walnut Creek Physician Services, LLC | |
|
1401 River Rd Greenwood MS 38930-4030 | |
| (662) 459-7000 | |
| Not Available |
| Full Name | Walnut Creek Physician Services, LLC |
|---|---|
| Speciality | Hospitalist |
| Location | 1401 River Rd, Greenwood, Mississippi |
| Authorized Official Name and Position | Lisha C Falk (VICE PRESIDENT) |
| Authorized Official Contact | 3376091221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walnut Creek Physician Services, LLC 200 Corporate Blvd Lafayette LA 70508-3870 Ph: (800) 893-9698 | Walnut Creek Physician Services, LLC 1401 River Rd Greenwood MS 38930-4030 Ph: (662) 459-7000 |
| NPI Number | 1730014390 |
|---|---|
| Provider Enumeration Date | 06/16/2026 |
| Last Update Date | 06/16/2026 |
| Certification Date | 06/16/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730014390 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Secondary |
| 208M00000X | Hospitalist | (NU) | Primary |
| 363A00000X | Physician Assistant | (NU) | Secondary |
| 363L00000X | Nurse Practitioner | (NU) | Secondary |
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