Azar, George James

Azar, George James is an individual health care provider with primary practice located at 139 Fairfield Dr , Hattiesburg MS 39402-1303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Azar, George James can be contacted via phone (601) 450-2401.

Contact Information

Primary practice address
139 Fairfield Dr Hattiesburg MS 39402-1303
Fax: (601) 450-2410
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 15260 Mississippi

Profile Details

NPI number 1376632307
LBN Legal business name Azar, George James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Nov 16th, 2010 - about 15 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 1376632307 NPPES
Mississippi MEDICAID 00118119

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