The Children's Medical Group of Greenville, Pllc
NPI #1174711279 in Greenville, Mississippi
Provider Information
- NPI Number
- 1174711279
- Entity Type
- Organization
- Organization Name
- The Children's Medical Group of Greenville, Pllc
- Primary Specialty
- Pediatrics
- Enumeration Date
- Oct 15, 2007
- Last Updated
- Jun 1, 2008
Practice Location
- Address
- 559 ARNOLD AVE STE A
- City
- Greenville
- State
- Mississippi
- ZIP Code
- 38701-5323
- Phone
- (662) 334-9915
Authorized Official
- Name
- DR. HOSAN MENANYA AZOMANI, MD
- Title
- MANAGER
- Phone
- (662) 334-9915
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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