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Jackson Ear Clinic Pa
Specialist in Flowood, Mississippi
NPI 1093934002

Jackson Ear Clinic Pa is a Specialist based in Flowood, MS. Jackson Ear Clinic Pa practices in Flowood, MS. The NPI Number for Jackson Ear Clinic Pa is 1093934002 and holds a License No. 11369 (Mississippi).

The current practice location address for Jackson Ear Clinic Pa is 290 E Layfair Dr, Flowood, MS and can be reached out via phone at 601-981-2825 and via fax at 601-981-2827.

Location: 290 E Layfair Dr, Flowood, MS, 39232-9526
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093934002
Provider Name
Jackson Ear Clinic Pa
Credential
Provider Entity Type
Organization
Address
290 E Layfair Dr, Flowood, MS, 39232-9526
Phone Number
601-981-2825
Fax Number
601-981-2827
Provider Enumeration Date
04/25/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
04586854 05 MS
institution
Provider Business Practice Location Address Details
Address
290 E Layfair Dr
City
Flowood
State
Mississippi
Zip
39232-9526
Phone Number
601-981-2825
Fax Number
601-981-2827
person
Provider Business Mailing Address Details
Address
290 E Layfair Dr
City
Flowood
State
Mississippi
Zip
39232-9526
Phone Number
601-981-2825
Fax Number
601-981-2827
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
11369 (Mississippi)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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