Individual
GREGG ANAZIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
415 S 28TH AVE, HATTIESBURG, MS 39401-7246
(601) 288-4329
(601) 579-5240
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7033
(803) 296-5928
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
24500
MS
208M00000X
Hospitalist Physician
Primary
37211
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00188566
—
MS
05
—
372117
—
SC
Enumeration date
04/10/2011
Last updated
03/26/2021
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