# GREGORY A. AUZENNE MD, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104374750
- **Authorized official:** DR. GREGORY A AUZENNE M.D. (PRESIDENT)
- **Authorized official phone:** (601) 286-5477

## Contact information

- **Practice address:** 4803 29TH AVE STE A, MERIDIAN, MS 39305-2675
- **Practice address phone:** (601) 286-5477
- **Practice address fax:** (601) 286-5425
- **Mailing address:** P O BOX 649107, DALLAS, TX 75264
- **Mailing address phone:** (601) 286-5477
- **Mailing address fax:** (601) 286-5825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LH0002X | Hospice and Palliative Medicine (Anesthesiology) Physician | 20220 | MS | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 20220 | MS | Yes |

## Other

- **Enumeration date:** 09/12/2016
- **Last updated:** 03/17/2023