Auzenne, Gregory Alvin

Auzenne, Gregory Alvin is an individual health care provider with primary practice located at 4803 29Th Ave Ste A , Meridian MS 39305-2675. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Auzenne, Gregory Alvin can be contacted via phone (601) 286-5477.

Contact Information

Primary practice address
4803 29Th Ave Ste A Meridian MS 39305-2675
Fax: (601) 286-5825
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 20220 Mississippi
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 20220 Mississippi

Profile Details

NPI number 1558421651
LBN Legal business name Auzenne, Gregory Alvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Mar 17th, 2023 - about last year

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 1558421651 NPPES
Mississippi MEDICAID 07631726

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