GREENVILLE SURGICAL CLINIC NPI 1013038330

NPI Information

  • NPI: 1013038330
  • Provider Name: GREENVILLE SURGICAL CLINIC
  • Classification: Surgery - 208600000X
  • Entity Type: Organization
  • Doing Business As: GREENVILLE SURGICAL CLINIC
  • Address: 1214 HOSPITAL ST
    GREENVILLE, MS
    ZIP 38703
  • Phone: (662) 335-9283

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NPI Details

GREENVILLE SURGICAL CLINIC is a surgery in Greenville, MS. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. GREENVILLE SURGICAL CLINIC NPI is 1013038330. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Greenville Surgical Clinic.

The provider's business location address is:

1214 HOSPITAL ST
GREENVILLE, MS
ZIP 38703-213
Phone: (662) 335-9283
Fax: (662) 334-6989

The provider's authorized official is Philip D Doolittle .
The authorized official title is Owner and has the following contact phone number (662) 335-9283.

The enumeration date for this NPI number is 4/3/2007 and was last updated on 8/10/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208600000XSurgery1601MISSISSIPPIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
107975534MEDICAIDMISSISSIPPI
2C00448MEDICARE ID-TYPE UNSPECIFIEDMISSISSIPPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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