Organization
MISSISSIPPI EAR, NOSE AND THROAT SURGICAL ASSOCIATES, P.C.
Active
Organization
MISSISSIPPI EAR, NOSE AND THROAT SURGICAL ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN PEYTON HINES MD (PHYSICIAN)
(662) 571-7129
Entity
Organization
Contact information
Practice address
161 RIVER OAKS DRIVE, SUITE 202, MADISON, MS 39110
(601) 709-7700
(601) 709-7701
Mailing address
2550 FLOWOOD DR STE 303, FLOWOOD, MS 39232-9306
(601) 709-7700
(601) 709-7701
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02652740
—
MS
01
—
1023455169
NPI
—
Enumeration date
05/15/2007
Last updated
05/08/2021
Update your record
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