Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amory Pediatric

Organization Pediatrics Physician · NPI 1902020639

Amory Pediatric is a Pediatrics Physician in Amory, Mississippi. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

1107 Earl Frye Blvd Ste 5
Amory, MS 38821-5519
Phone: (662) 257-6705
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X

Record details

NPI number1902020639
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Chris Dedeaux — Clinic Administrator · (662) 256-7112
NPI enumeratedApril 12, 2007
Last updated in NPPESAugust 22, 2020
Mailing address123 Main St N, Amory, MS 38821-3416

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