Organization
BROOKHAVEN EAR, NOSE & THROAT PA
Active
Other names
Mississippi Sinus Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN COREY CASE M.D. (PRESIDENT)
(601) 835-0077
Entity
Organization
Contact information
Practice address
201 S RAILROAD AVE, BROOKHAVEN, MS 39601-3331
(601) 835-0077
(601) 835-0095
Mailing address
201 S RAILROAD AVE, BROOKHAVEN, MS 39601-3331
(601) 835-0077
(601) 835-0095
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
10309
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08837378
—
MS
Enumeration date
03/19/2007
Last updated
01/27/2016
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