Organization
AMARIS MEDICAL GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ANITA GREER NP (CEO)
(662) 582-1925
Entity
Organization
Contact information
Practice address
308 N JACKSON ST, KOSCIUSKO, MS 39090-3322
(662) 582-1925
Mailing address
PO BOX 372, KOSCIUSKO, MS 39090-0372
(662) 582-1925
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780087304
IND NPI
MS
Enumeration date
05/12/2020
Last updated
08/05/2025
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