Amory Hma Physician MGMT LLC

Organization Active NPI Urology Physician · Amory, MS

NPI 1972819035 · NPPES record last updated Aug 27, 2010

Key facts

NPI
1972819035
Entity type
Organization (NPI type 2)
Primary specialty
Urology Physician 208800000X
License
11876 (MS)
Legal business name
AMORY HMA PHYSICIAN MGMT LLC
Practice address
1127 Earl Frye Blvd
Suite B
Amory, MS 38821-5516
Phone
(662) 256-6191
Fax
(662) 256-6194
NPI assigned
Aug 27, 2010
Organization subpart
Yes
Parent organization (as reported)
HEALTH MANAGEMENT

Authorized official

Name
Kathy Linley
Title
Admin Assist
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)
Part of
Amory Hma Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208800000X 11876 MS Yes

Addresses

Primary practice location

1127 Earl Frye Blvd
Suite B
Amory, MS 38821-5516

Mailing address

1127 Earl Frye Blvd
Suite B
Amory, MS 38821-5516
Phone (662) 256-6191

Other names

  • Amory Urology Center Doing business as

Other providers in Amory, MS

All providers in Amory, MS · Urology Physician in Mississippi

Sources for this page

Verify at the official NPI Registry.