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Organization

FAMILY EAR NOSE & THROAT CARE OF THE MID-SOUTH, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK P CLEMONS M.D (OWNER)
(901) 363-8400
Entity
Organization

Contact information

Practice address
6616 KIRBY CENTER CV, MEMPHIS, TN 38115-4313
(901) 363-8400
(901) 363-8644
Mailing address
6616 KIRBY CENTER CV, MEMPHIS, TN 38115-4313
(901) 363-8400
(901) 363-8644

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
10/19/2012
Last updated
11/29/2012
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