Colvin, Greene Berry

Colvin, Greene Berry is an individual health care provider with primary practice located at 7164 Hacks Cross Rd Ste 106 , Olive Branch MS 38654-3919. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Colvin, Greene Berry can be contacted via phone (662) 895-6455.

Contact Information

Primary practice address
7164 Hacks Cross Rd Ste 106 Olive Branch MS 38654-3919
Phone: (662) 895-6455
Fax: (662) 895-6460
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X MD0000030098 Tennessee
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 15739 Mississippi

Profile Details

NPI number 1619988243
LBN Legal business name Colvin, Greene Berry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Feb 8th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619988243 NPPES
Mississippi MEDICAID 0119469

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