Dr. GREENE BERRY COLVIN IV MD
Individual Provider (NPI-1)
Active
Otolaryngology
Provider Information
- NPI Number
1619988243- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 7164 HACKS CROSS RD STE 106, OLIVE BRANCH, MS, 386543919
- Phone
- (662) 895-6455
- Fax
- (662) 895-6460
Specialties & Taxonomies
Otolaryngology
License: TN #MD0000030098
Otolaryngology
Primary License: MS #15739