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Organization

SOUTHWEST MISSISSIPPI ENT, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM K. AUSTIN MD (MEMBER)
(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
05/16/2019
Last updated
05/16/2019
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