NPI 1043244163

Narayanan Pediatric Clinic

Organisation Clinic/Center Southaven, MS

Practice location

Address: 3964 Goodman STE 133, Southaven, MS 38672
Phone: (662) 895-9498
Fax: (662) 890-4547
Mailing address: PO Box 170 Dept 150, Southaven, MS 38671

Authorised official

Name: Cathy a Dodge
Title: Lpn Office Supervisor
Phone: (662) 895-9498

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

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Registry record

NPI: 1043244163
Entity type: Organization
NPI issued: 11 Jul 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.