NPI 1104374750 · live from the CMS NPI Registry
Gregory A. Auzenne MD, PA
Anesthesiology, Pain Medicine in Meridian, MS. National Provider Identifier 1104374750, active.
NPI record
| NPI | 1104374750 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology, Pain Medicine 207LP2900X |
| Practice location | 4803 29th Ave Ste A, Meridian, MS 39305 |
| Practice phone | 601-286-5477 |
| Mailing address | P O Box 649107, Dallas, TX 75264 |
| Enumerated | September 12, 2016 |
| Last updated | March 17, 2023 |
| Authorized official | Gregory Auzenne, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology, Hospice and Palliative Medicine | 207LH0002X | 20220 (MS) |
| Anesthesiology, Pain Medicine primary | 207LP2900X | 20220 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.