EAR,NOSE & THROAT SURGICAL CLINIC OF SOUTH CENTRAL MS

LAUREL, MS
NPI1033312772
Entity TypeOrganization
Authorized ContactCARL WAYNE STEVENS
President
061-649-9706
Organization Subpart ?No
Primary Taxonomy207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery
(Licence: MS  15762)
Enumeration Date2007-06-08
Last Update Date2008-05-21
Business Address
EAR,NOSE & THROAT SURGICAL CLINIC OF SOUTH CENTRAL MS
306 S 12TH AVE
LAUREL, MS 39440-4327
Phone number: 601-649-9706
Mailing Address
EAR,NOSE & THROAT SURGICAL CLINIC OF SOUTH CENTRAL MS
306 S 12TH AVE
LAUREL, MS 39440-4327
Phone number: 601-649-9706
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