| Narayanan Pediatric Clinic | |
|
3964 Goodman Ste 133 Southaven MS 38672 | |
| (662) 895-9498 | |
| (662) 890-4547 |
| Full Name | Narayanan Pediatric Clinic |
|---|---|
| Speciality | Clinic/center |
| Location | 3964 Goodman, Southaven, Mississippi |
| Authorized Official Name and Position | Cathy A Dodge (LPN OFFICE SUPERVISOR) |
| Authorized Official Contact | 6628959498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Narayanan Pediatric Clinic Po Box 170 Dept 150 Southaven MS 38671 Ph: (662) 895-9498 | Narayanan Pediatric Clinic 3964 Goodman Ste 133 Southaven MS 38672 Ph: (662) 895-9498 |
| NPI Number | 1043244163 |
|---|---|
| Provider Enumeration Date | 07/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043244163 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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