Organization
STEWART EAR NOSE AND THROAT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD G HILTON (ASSOCIATE ADMINISTRATOR)
(662) 615-2503
Entity
Organization
Contact information
Practice address
300 HOSPITAL RD, STARKVILLE, MS 39759-2156
(662) 323-3684
(662) 323-3647
Mailing address
PO BOX 1984, STARKVILLE, MS 39760-1984
(662) 323-3684
(662) 323-3647
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
11-269
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04826802
—
MS
Enumeration date
12/12/2006
Last updated
08/22/2020
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