Organization Name: | AMORY HMA PHYSICIAN MGMT LLC |
NPI Number: | 1043536881 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KATHY LINLEY (ADMIN ASSISTANT) |
Mailing Address: | 1107 Earl Frye Blvd Suite 1 Amory |
State: | MS US |
Postal Code: | 388215519 |
Phone Number: | 6622576792 |
Fax Number: | 6622576795 |
NPI Enumeration Date: | 04/19/2010 |
NPI Last Update Date: | 04/19/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207YX0602X |
License Number: | 20619 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Otolaryngology |
Taxonomy Specialization: | Otolaryngic Allergy |
Taxonomy Definition: | An otolaryngologist who specializes in the diagnosis and treatment of otolaryngic allergies and other allergic diseases. |