| Anazia Medical, Inc. | |
|
120 5th Avenue Mccomb MS 39648-4159 | |
| (601) 249-0013 | |
| (601) 249-0592 |
| Full Name | Anazia Medical, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 120 5th Avenue, Mccomb, Mississippi |
| Authorized Official Name and Position | Victor O Anazia (CEO) |
| Authorized Official Contact | 6012490013 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anazia Medical, Inc. 120 5th Avenue Mccomb MS 39648-4159 Ph: (601) 249-0013 | Anazia Medical, Inc. 120 5th Avenue Mccomb MS 39648-4159 Ph: (601) 249-0013 |
| NPI Number | 1245348499 |
|---|---|
| Provider Enumeration Date | 08/28/2006 |
| Last Update Date | 10/29/2010 |
| Medicare PECOS PAC ID | 9133013659 |
|---|---|
| Medicare Enrollment ID | O20040213000289 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245348499 | NPI | - | NPPES |
| 09015224 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 14997 (Mississippi) | Primary |
| Provider Name | Victor O Anazia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245232792 PECOS PAC ID: 3476447996 Enrollment ID: I20040216000222 |
| Provider Name | George A Applewhite |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1770562647 PECOS PAC ID: 4587684873 Enrollment ID: I20051201000342 |
| Provider Name | Harry G Hunt |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1346268786 PECOS PAC ID: 8527124239 Enrollment ID: I20090819000630 |
| Provider Name | Constance M Bradford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003960907 PECOS PAC ID: 6002132941 Enrollment ID: I20150311001895 |
Intensive Care Hospitalists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 215 Marion Ave, Attn Icu, Mccomb, MS 39648 Phone: 601-249-5500 Fax: 601-249-1173 | |
Hands Of Purpose Health And Wellness Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 W Georgia Ave, Mccomb, MS 39648 Phone: 601-324-3057 Fax: 601-980-0360 | |
Statcare Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1017 Delaware Ave, Mccomb, MS 39648 Phone: 601-250-1122 Fax: 601-250-0290 | |
Statcare Plus, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1015 Delaware Ave, Suite C, Mccomb, MS 39648 Phone: 601-249-4777 Fax: 601-249-4776 | |
Compassionate Medical Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 Marion Ave, Mccomb, MS 39648 Phone: 407-558-0270 | |
Continuing Er Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1506 Harrison Ave, Mccomb, MS 39648 Phone: 601-250-4200 Fax: 601-250-4203 |