Organization
SOUTH MISSISSIPPI EAR, NOSE AND THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD S DAVENPORT (CEO)
(228) 762-4483
Entity
Organization
Contact information
Practice address
2525 TELEPHONE ROAD, PASCAGOULA, MS 39567
(228) 762-4483
(228) 769-0406
Mailing address
2525 TELEPHONE ROAD, PASCAGOULA, MS 39567
(228) 762-4483
(228) 769-0406
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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