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1790006674
NORTHWEST MISSISSIPPI OTOLARYNGOLOGY HEAD & NECK SURGERY, LLC
SOUTHAVEN, MS
NPI
1790006674
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Entity Type
Organization
Authorized Contact
JEFFREY JORDAN CUNNINGHAM
Owner
662-349-7676
Organization Subpart ?
No
Primary Taxonomy
207Y00000X Otolaryngology
Enumeration Date
2010-06-15
Last Update Date
2010-06-15
Business Address
NORTHWEST MISSISSIPPI OTOLARYNGOLOGY HEAD & NECK SURGERY, LLC
7165 GETWELL RD BUILDING H, SUITE 1
SOUTHAVEN, MS 38672-9618
Phone number: 662-349-7676
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Mailing Address
NORTHWEST MISSISSIPPI OTOLARYNGOLOGY HEAD & NECK SURGERY, LLC
7165 GETWELL RD BUILDING H, SUITE 1
SOUTHAVEN, MS 38672-9618
Phone number: 662-349-7676
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