Organization
OTOLARYNGOLOGY ASSOCIATES OF THE MIDSOUTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELIA ISABELL (ADMINISTRATOR)
(901) 521-6407
Entity
Organization
Contact information
Practice address
975 SWINNEA RIDGE, SUITE 1, SOUTHAVEN, MS 38671
(662) 349-0448
(662) 349-7984
Mailing address
975 SWINNEA RIDGE, SUITE 1, SOUTHAVEN, MS 38671
(662) 349-0448
(662) 349-7984
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/04/2007
Last updated
08/22/2020
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