Organization
LAUREL EAR, NOSE, AND THROAT SURGICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL P BROOKS M.D. (PRESIDENT/OWNER)
(601) 649-8732
Entity
Organization
Contact information
Practice address
128 S 11TH AVE, LAUREL, MS 39440-4313
(601) 649-8732
(601) 649-5051
Mailing address
128 S 11TH AVE, LAUREL, MS 39440-4313
(601) 649-8732
(601) 649-5051
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
06389
MS
Other
Enumeration date
09/13/2006
Last updated
08/22/2020
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