Ent Surgical Group, Pllc
NPI #1023734878 in Madison, Mississippi
Provider Information
- NPI Number
- 1023734878
- Entity Type
- Organization
- Organization Name
- Ent Surgical Group, Pllc
- Primary Specialty
- Otolaryngology
- Enumeration Date
- Oct 13, 2022
- Last Updated
- Oct 13, 2022
Practice Location
- Address
- 138 PARK PLACE BLVD
- City
- Madison
- State
- Mississippi
- ZIP Code
- 39110
- Phone
- (601) 898-7500
Authorized Official
- Name
- KYLE GORDON, MD
- Title
- OWNER
- Phone
- (601) 898-7500
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
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