Organization
JACKSON EAR, NOSE AND THROAT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM F SNEED M.D. (OWNER)
(601) 352-7655
Entity
Organization
Contact information
Practice address
1421 N STATE ST, SUITE 402, JACKSON, MS 39202-1658
(601) 352-7655
(601) 352-7658
Mailing address
1421 N STATE ST, SUITE 402, JACKSON, MS 39202-1658
(601) 352-7655
(601) 352-7658
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
07717
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00115212
—
MS
01
—
040014450
RAILROAD MEDICARE
MS
01
—
587095012A
BCBS OF MS
MS
Enumeration date
05/16/2007
Last updated
12/09/2010
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