# MERIDIAN EAR NOSE & THROAT CLINICPA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457442758
- **Authorized official:** DR. ROBERT JOSEPH CATER M.D. (PRESIDENT)
- **Authorized official phone:** (601) 483-9358

## Contact information

- **Practice address:** 1521 22ND AVE, MERIDIAN, MS 39301-4016
- **Practice address phone:** (601) 483-9358
- **Practice address fax:** (601) 483-9664
- **Mailing address:** 1521 22ND AVE, MERIDIAN, MS 39301-4016
- **Mailing address phone:** (601) 483-9358
- **Mailing address fax:** (601) 483-9664

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0007X | Plastic Surgery within the Head & Neck (Otolaryngology) Physician | 12647 | MS | Yes |

## Other

- **Enumeration date:** 09/28/2006
- **Last updated:** 11/02/2010