Anazia Medical Ii, Inc.

NPI #1174627459 in Fayette, Mississippi

Provider Information

NPI Number: 1174627459
Entity Type: Organization
Organization Name: Anazia Medical Ii, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Sep 8, 2006
Last Updated: Oct 29, 2010

Practice Location

Address: 1264 MAIN STREET
Address 2: SUITE A
City: Fayette
State: Mississippi
ZIP Code: 39069
Phone: (601) 786-0390

Authorized Official

Name: DR. VICTOR O ANAZIA, D.O.
Title: CEO
Phone: (601) 249-0013

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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