Organization
FAMILY EAR NOSE & THROAT CARE
Active
Other names
Dr Louis R Chanin
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI L CATO (OFFICE MANAGER)
(662) 349-0707
Entity
Organization
Contact information
Practice address
60 PHYSICIANS LN, STE 1, SOUTHAVEN, MS 38671-6122
(662) 349-0707
(662) 349-0708
Mailing address
PO BOX 1017, 60 PHYSICIAN LANE STE 1, SOUTHAVEN, MS 38671-0011
(662) 349-0707
(662) 349-0708
Taxonomy
Speciality
Code
Description
License number
State
207YP0228X
Pediatric Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00017484
—
MS
Enumeration date
10/11/2005
Last updated
03/19/2008
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