Southern Healthcare Providers
NPI #1568660744 in Greenwood, Mississippi
Provider Information
- NPI Number
- 1568660744
- Entity Type
- Organization
- Organization Name
- Southern Healthcare Providers
- Primary Specialty
- Medical Genetics, Ph.D. Medical Genetics
- Enumeration Date
- Jul 10, 2007
- Last Updated
- Jul 10, 2007
Practice Location
- Address
- 1401 RIVER RD
- City
- Greenwood
- State
- Mississippi
- ZIP Code
- 38930-4030
- Phone
- (770) 429-1411
Authorized Official
- Name
- DR. RODERICK C GIVENS, M.D.
- Title
- PRESIDENT
- Phone
- (770) 429-1411
Specialties & Taxonomy Codes
| Specialty |
|---|
| Medical Genetics, Ph.D. Medical Genetics |
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| DR. Gene Mark Baines, D.M.D. | |
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| East Metro Family Medical Clinic | |
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