The Children's Medical Group

NPI #1629237656 in Canton, Mississippi

Provider Information

NPI Number: 1629237656
Entity Type: Organization
Organization Name: The Children's Medical Group
Subpart: Yes (part of a larger organization)
Parent Organization: THE CHILDREN'S MEDICAL GROUP OF GREENVILLE PLLC
Primary Specialty: Pediatrics
Enumeration Date: Jun 5, 2008
Last Updated: Jun 5, 2008

Practice Location

Address: 1421 E PEACE ST
City: Canton
State: Mississippi
ZIP Code: 39046-4938
Phone: (601) 859-5955

Authorized Official

Name: DR. HOSAN MENANYA AZOMANI, MD
Title: MANAGER
Phone: (662) 334-9915

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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