Jackson Ear Clinic PA
NPI #1093934002 in Flowood, Mississippi
Provider Information
- NPI Number
- 1093934002
- Entity Type
- Organization
- Organization Name
- Jackson Ear Clinic PA
- Primary Specialty
- Specialist
- Enumeration Date
- Apr 25, 2007
- Last Updated
- Aug 12, 2020
Practice Location
- Address
- 290 E LAYFAIR DR
- City
- Flowood
- State
- Mississippi
- ZIP Code
- 39232-9526
- Phone
- (601) 981-2825
Authorized Official
- Name
- KATHY PEEPLES
- Title
- OFFICE MANAGER
- Phone
- (601) 981-2825
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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