Organization
MISSISSIPPI EAR, NOSE AND THROAT SURGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLARENCE M OSBORNE M.D. (MEDICAL DIRECTOR)
(601) 709-7707
Entity
Organization
Contact information
Practice address
2550 FLOWOOD DR, SUITE 303, FLOWOOD, MS 39232-9303
(601) 709-7707
(601) 709-7701
Mailing address
2550 FLOWOOD DR, SUITE 303, FLOWOOD, MS 39232-9303
(601) 709-7707
(601) 709-7701
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
12145
MS
Other
Enumeration date
08/06/2013
Last updated
05/28/2014
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