Amory Pediatric
Pediatrics Physician · Amory, MS
Practice location
1107 Earl Frye Blvd Ste 5Amory, MS 38821-5519
- Phone
- (662) 257-6705
NPI record
- NPI
- 1902020639
- Entity type
- Organization (Type 2)
- Enumeration date
- April 12, 2007
- Last updated
- August 22, 2020
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Physician Primary | 208000000X |
— | — |
Mailing address
123 Main St NAmory, MS 38821-3416
Authorized official
- Name
- Chris Dedeaux
- Title
- Clinic Administrator
- Phone
- (662) 256-7112
About Amory Pediatric
Amory Pediatric is a healthcare organization registered in the NPI registry with the primary taxonomy Pediatrics Physician (code 208000000X). The practice location is 1107 Earl Frye Blvd Ste 5, Amory, MS 38821-5519. The NPI number 1902020639 was assigned on April 12, 2007 and the record was last updated on August 22, 2020.
The authorized official for this organization is Chris Dedeaux, Clinic Administrator.
Frequently asked questions
What is the NPI number of Amory Pediatric?
The NPI number is 1902020639.
What is the phone number of Amory Pediatric?
The phone number listed for the practice location is (662) 257-6705.
Where is Amory Pediatric located?
1107 Earl Frye Blvd Ste 5, Amory, MS 38821-5519.
What is the taxonomy code for Amory Pediatric?
The primary taxonomy code is 208000000X – Pediatrics Physician.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Pediatrics Physician providers in Amory
- Terry William Odom, M.D.702 Earl Frye Blvd
- P&S Primary Care, PLLC900 Earl Frye Blvd Ste a
- Thomas Henry Kloor Jr., MD1105 Earl Frye Blvd
- Jason Doyle Simpson, DO900 Earl Frye Blvd
- Terry W Odom Pediatrics702 Earl Frye Blvd
- Raphael A. Buckle, MD900 Earl Frye Blvd
- Mary Ann King, D.O.900 Earl Frye Blvd
- John R. McPherson, MD900 Earl Frye Blvd Ste a
- North Mississippi Gilmore Clinics, LLC1107 Earl Frye Blvd Ste 5