Organization
BAY AREA ENT, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA D BAKKER (ADMINISTRATOR)
(228) 314-2624
Entity
Organization
Contact information
Practice address
1137 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-8291
(877) 504-3044
Mailing address
1137 OCEAN SPRINGS RD, OCEAN SPRINGS, MS 39564-3421
(228) 875-8291
(877) 504-3044
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9015470
—
MS
Enumeration date
07/07/2006
Last updated
10/15/2015
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