South Mississippi Ear, Nose and Throat

NPI #1386979961 in Pascagoula, Mississippi

Provider Information

NPI Number: 1386979961
Entity Type: Organization
Organization Name: South Mississippi Ear, Nose and Throat
Primary Specialty: Otolaryngology
Enumeration Date: Oct 15, 2009
Last Updated: Oct 15, 2009

Practice Location

Address: 2525 TELEPHONE ROAD
City: Pascagoula
State: Mississippi
ZIP Code: 39567
Phone: (228) 762-4483

Authorized Official

Name: MR. DONALD S DAVENPORT
Title: CEO
Phone: (228) 762-4483

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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