Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. GREENE BERRY COLVIN IV, MD
ActiveDR. GREENE BERRY COLVIN IV, MD is a Otolaryngology healthcare provider located in OLIVE BRANCH, Mississippi. NPI 1619988243 is currently active in the NPPES registry. Verify at CMS.
Otolaryngology · OLIVE BRANCH, MS
Registration Details
- NPI Number
- 1619988243
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2006 (20.031007138957 yrs)
- Last Updated
- Feb 8, 2022
- Licenses
-
MD0000030098 (TN)15739 (MS)
Practice Information
- Address
-
7164 HACKS CROSS RD STE 106OLIVE BRANCH, MS, 386543919Browse MS providers · Browse ZIP 38654
- Phone
- 6628956455
- Fax
- 6628956460
- Primary Specialty
-
Otolaryngology
207Y00000X
- Additional Specialty
- Otolaryngology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.