institution
Ear,nose & Throat Surgical Clinic Of South Central Ms
Otolaryngology/Facial Plastic Surgery Physician in Laurel, Mississippi
NPI 1033312772

Ear,nose & Throat Surgical Clinic Of South Central Ms is a Otolaryngology/Facial Plastic Surgery Physician based in Laurel, MS and is specialized in Otolaryngology/Facial Plastic Surgery. Ear,nose & Throat Surgical Clinic Of South Central Ms practices in Laurel, MS. The NPI Number for Ear,nose & Throat Surgical Clinic Of South Central Ms is 1033312772 and holds a License No. 15762 (Mississippi).

The current practice location address for Ear,nose & Throat Surgical Clinic Of South Central Ms is 306 S 12Th Ave, Laurel, MS and can be reached out via phone at 601-649-9706 and via fax at 601-649-9708. You can also correspond with Ear,nose & Throat Surgical Clinic Of South Central Ms through the mailing address at 306 S 12TH AVE, LAUREL, MS - 39440-4327 (mailing address contact number: 601-649-9706).

Location: 306 S 12Th Ave, Laurel, MS, 39440-4327
institution
Provider Profile Details
NPI Number
1033312772
Provider Name
Ear,nose & Throat Surgical Clinic Of South Central Ms
Credential
Provider Entity Type
Organization
Address
306 S 12Th Ave, Laurel, MS, 39440-4327
Phone Number
601-649-9706
Fax Number
601-649-9708
Provider Enumeration Date
06/08/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09301826 05 MS
institution
Provider Business Practice Location Address Details
Address
306 S 12Th Ave
City
State
Zip
39440-4327
Phone Number
601-649-9706
Fax Number
601-649-9708
person
Provider Business Mailing Address Details
Address
306 S 12Th Ave
City
State
Zip
39440-4327
Phone Number
601-649-9706
Fax Number
601-649-9708
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
License No.
15762 (Mississippi)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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