Mississippi Ear Nose and Throat Surgical Associates

NPI #1245504026 in Kosciusko, Mississippi

Provider Information

NPI Number: 1245504026
Entity Type: Organization
Organization Name: Mississippi Ear Nose and Throat Surgical Associates
Primary Specialty: Otolaryngology
Enumeration Date: Feb 27, 2012
Last Updated: Feb 27, 2012

Practice Location

Address: 332 HIGHWAY 12 WEST
City: Kosciusko
State: Mississippi
ZIP Code: 39090-3209
Phone: (662) 289-1800

Authorized Official

Name: JANICE KAY
Title: BUSINESS MANAGER
Phone: (601) 709-7700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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