Organization
MISSISSIPPI EAR NOSE AND THROAT SURGICAL ASSOCIATES
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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