Amory Hma Physician MGMT LLC

Organization Active NPI Pediatric Anesthesiology Physician · Amory, MS

NPI 1609090802 · NPPES record last updated Jan 12, 2011

Key facts

NPI
1609090802
Entity type
Organization (NPI type 2)
Primary specialty
Pediatric Anesthesiology Physician 207LP3000X
Legal business name
AMORY HMA PHYSICIAN MGMT LLC
Practice address
1105 Earl Frye Blvd
Amory, MS 38821-5500
Phone
(662) 257-6771
NPI assigned
Apr 12, 2007
Organization subpart
No

Authorized official

Name
Kathy Linley
Title
Clinic Admin Assistant
Phone
(662) 256-7112

Corporate family (same tax ID) 16

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Gilmore Primary Care (17 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207LP3000X Yes
Hospitalist Physician
Group: 193200000X MULTI-SPECIALTY GROUP
208M00000X

Addresses

Primary practice location

1105 Earl Frye Blvd
Amory, MS 38821-5500

Mailing address

123 Main St N
Amory, MS 38821-3416

Other names

  • Amory Physician Services Doing business as

Other providers in Amory, MS

All providers in Amory, MS · Pediatric Anesthesiology Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.