Organization
MISSISSIPPI EAR NOSE AND THROAT SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE KAY (BUSINESS MANAGER)
(601) 709-7700
Entity
Organization
Contact information
Practice address
332 HIGHWAY 12 WEST, KOSCIUSKO, MS 39090-3209
(662) 289-1800
(662) 289-2486
Mailing address
501 MARSHALL STREET, SUITE 501, JACKSON, MS 39202-1615
(601) 709-7700
(601) 709-7701
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03111
MEDICARE GROUP
MS
Enumeration date
02/27/2012
Last updated
02/27/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us