DESOTO EAR, NOSE &THROAT

OLIVE BRANCH, MS
NPI1477644045
Entity TypeOrganization
Authorized ContactGREENE BERRY COLVIN
Owner
662-895-6455
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
Enumeration Date2006-09-27
Last Update Date2020-06-09
Business Address
DESOTO EAR, NOSE &THROAT
7164 HACKS CROSS RD STE 106
OLIVE BRANCH, MS 38654-3919
Phone number: 662-895-6455
Mailing Address
DESOTO EAR, NOSE &THROAT
7164 HACKS CROSS RD STE 106
OLIVE BRANCH, MS 38654-3919
Phone number: 662-895-6455
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GREENE BERRY COLVIN