Anazia, Gregg

Anazia, Gregg is an individual health care provider with primary practice located at 415 S 28Th Ave , Hattiesburg MS 39401-7246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Anazia, Gregg can be contacted via phone (601) 288-4329.

Contact Information

Primary practice address
415 S 28Th Ave Hattiesburg MS 39401-7246
Phone: (601) 288-4329
Fax: (601) 579-5240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 24500 Mississippi
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 37211 South Carolina

Profile Details

NPI number 1497045512
LBN Legal business name Anazia, Gregg
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2011
Last updated Mar 26th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497045512 NPPES
South Carolina MEDICAID 372117
South Carolina MEDICAID 00188566

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