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
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