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Individual

DR. MANOJ NARAYANAN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

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
208000000X
Pediatrics Physician
Primary
MS12443
MS
208000000X
Pediatrics Physician
TN01000013260
TN

Other

Enumeration date
06/17/2006
Last updated
07/08/2007
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