Organization
SOUTHWEST MISSISSIPPI EAR, NOSE & THROAT CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE EDSEL STEWART M.D. (VICE PRESIDENT)
(601) 684-1250
Entity
Organization
Contact information
Practice address
405 MARION AVE, MCCOMB, MS 39648-2709
(601) 684-1250
(601) 684-0129
Mailing address
405 MARION AVE, MCCOMB, MS 39648-2709
(601) 684-1250
(601) 684-0129
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
11/21/2006
Last updated
08/22/2020
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