Organization
COASTAL EAR, NOSE AND THROAT, HEAD AND NECK SURGERY ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SMITH M.D. (OWNER)
(228) 863-6617
Entity
Organization
Contact information
Practice address
407 SECURITY SQ, GULFPORT, MS 39507-1922
(228) 896-1987
(228) 896-1315
Mailing address
407 SECURITY SQ, GULFPORT, MS 39507-1922
(228) 896-1987
(228) 896-1315
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
03/27/2007
Last updated
04/23/2015
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