Ear, Nose & Throat Surgical Clinic of South Central MS
Ear, Nose & Throat Surgical Clinic of South Central MS provides Otolaryngology/Facial Plastic Surgery Physician services in Laurel, Mississippi. Licensed in Mississippi. Registered with an NPI since 2007.
- Licensed in
- MS
- In the registry since
- 2007
Practice location Address checks out
306 S 12th AveLaurel, MS 39440-4327 Not confirmed with CMS for 18 years — call before visiting
Phone: (601) 649-9706
Fax: (601) 649-9708
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Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Otolaryngology/Facial Plastic Surgery Physician (primary) | Taxonomy 207YX0905X · Licence 15762 (MS) |
|---|
Record details
| NPI number | 1033312772 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Carl Stevens — President · (061) 649-9706 |
| NPI enumerated | June 8, 2007 |
| Last updated in NPPES | May 21, 2008 |
| Mailing address | 306 S 12th Ave, Laurel, MS 39440-4327 |