Ear,nose & Throat Surgical Clinic Of South Central Ms

NPI 1033312772 - Otolaryngology - 207YX0905X

NPI Details
NPI 1033312772
Enumeration Date 06/08/2007
Last Updated 05/21/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name CARL WAYNE CARL
Position PRESIDENT
Phone (601) 649-9706
Fax (601) 649-9708
Practice Location
306 S 12TH AVE
LAUREL MS, 39440-4327, US
Phone (601) 649-9706
Fax (601) 649-9708
Business Location
306 S 12TH AVE
LAUREL MS, 39440-4327, US
Phone (601) 649-9706
Fax (601) 649-9708
Toxanomy
Taxonomy Code 207YX0905X
License State Mississippi
License Number 15762
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According to our database, Ear,nose & Throat Surgical Clinic Of South Central Ms NPI is 1033312772, taxonomy code is 207YX0905X and license number is 15762, license state is located at Mississippi. Ear,nose & Throat Surgical Clinic Of South Central Ms physically located at 306 S 12th Ave, Laurel MS, 39440-4327. NPI Number 1033115704 has the healthcare provider type.

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1033312772 NPI number is provided on an as is basis without warranty of any kind. 1033312772 is maintained by the National Plan & Provider Enumeration System. The contents of Ear,nose & Throat Surgical Clinic Of South Central Ms are for informational purposes only.