Organization
NARAYANAN PEDIATRIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHY A DODGE (LPN OFFICE SUPERVISOR)
(662) 895-9498
Entity
Organization
Contact information
Practice address
3964 GOODMAN, STE 133, SOUTHAVEN, MS 38672
(662) 895-9498
(662) 890-4547
Mailing address
PO BOX 170 DEPT 150, SOUTHAVEN, MS 38671
(662) 895-9498
(662) 890-4547
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
07/11/2006
Last updated
08/22/2020
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