| Doctor Name: | MR. GEORGE PAUL COMEAUX |
| NPI Number: | 1003956194 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LSW0000005056 |
| Business Practice Address: | 8829 Centre St Southaven, MS - 386712610 |
| Business Phone Number: | 6622805758 |
| Business Fax Number: | 6622805708 |
| Mailing Address: | 8829 Centre St, SOUTHAVEN |
| State: | MS |
| Postal Code: | 386712610 |
| Phone Number: | 6622805758 |
| Fax Number: | 6622805708 |
| NPI Enumeration Date: | 02/07/2007 |
| NPI Last Update Date: | 08/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LSW0000005056 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |