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NPI 1215249131

IndividualActive

Bradley Greenhaw, M.D.

NPI 1215249131 · Dermatology Physician · Tupelo, MS

Provider details

NPI number: 1215249131
Entity type: Individual
Primary specialty: Dermatology PhysicianAllopathic & Osteopathic Physicians
Credential: M.D.
Sex: Male
Sole proprietor: Yes
License: 23810 (MS)

Practice location

516 Pegram Dr

Tupelo, MS 38801-6347

Phone: (662) 844-6272

Fax: (662) 844-1603

More MS providers

Mailing address

516 Pegram Dr

Tupelo, MS 38801-6347

Registry dates

Enumerated: 2010-07-08
Last updated: 2015-05-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Bradley Greenhaw, M.D. — NPI 1215249131, Tupelo, MS | NPI Central