Organization
GULF COAST EAR NOSE AND THROAT ASSOCIATES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN D LEATHERMAN MD (OWNER)
(228) 864-2121
Entity
Organization
Contact information
Practice address
9000 LORRAINE RD, GULFPORT, MS 39503-6101
(228) 864-2121
(228) 678-0950
Mailing address
9000 LORRAINE RD, GULFPORT, MS 39503-6101
(228) 864-2121
(228) 678-0950
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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