Green, Virginia Little

Green, Virginia Little is an individual health care provider with primary practice located at 350 W Woodrow Wilson Ave Jackson Medical Mall, Suite 454, Jackson MS 39213-7681. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Green, Virginia Little can be contacted via phone (601) 987-3965.

Contact Information

Primary practice address
350 W Woodrow Wilson Ave Jackson Medical Mall, Suite 454 Jackson MS 39213-7681
Phone: (601) 987-3965
Fax: (601) 987-4176
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 10098 Mississippi

Profile Details

NPI number 1619030012
LBN Legal business name Green, Virginia Little
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2006
Last updated Mar 7th, 2023 - 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 1619030012 NPPES
Mississippi Other 10098 MS BOARD OF MEDICAL LICENSURE
Mississippi MEDICAID 00122599 MS BOARD OF MEDICAL LICENSURE

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