Individual
DR. GREGORY ALVIN AUZENNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4803 29TH AVE STE A, MERIDIAN, MS 39305-2675
(601) 286-5477
(601) 286-5825
Mailing address
PO BOX 649107, DALLAS, TX 75264
(601) 286-5477
(601) 286-5825
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
20220
MS
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
20220
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07631726
—
MS
Enumeration date
12/11/2006
Last updated
03/17/2023
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