Green Country Medical, INC

NPI #1609998194 in Nowata, Oklahoma

Provider Information

NPI Number: 1609998194
Entity Type: Organization
Organization Name: Green Country Medical, INC
Primary Specialty: Family Medicine
Enumeration Date: Apr 4, 2007
Last Updated: Jun 21, 2018

Practice Location

Address: 712 E OSAGE AVE
City: Nowata
State: Oklahoma
ZIP Code: 74048-3638
Phone: (918) 273-0140

Authorized Official

Name: SHERYL NEELY
Title: RN
Phone: (918) 273-0140

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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