Golden Age INC
NPI #1558693671 in Greenwood, Mississippi
Provider Information
- NPI Number
- 1558693671
- Entity Type
- Organization
- Organization Name
- Golden Age INC
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Feb 1, 2010
- Last Updated
- Jan 6, 2022
Practice Location
- Address
- 2901 HIGHWAY 82 E
- City
- Greenwood
- State
- Mississippi
- ZIP Code
- 38930-2960
- Phone
- (662) 374-2185
Authorized Official
- Name
- TABATHA DANIELLE WATKINS
- Title
- ADMINISTRATOR
- Phone
- (662) 453-6323
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
| Clinic/Center - Rural Health — Rural Health |
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