Mid South Otolaryngology Associates P.c.

NPI #1467511691 in Southaven, Mississippi

Provider Information

NPI Number: 1467511691
Entity Type: Organization
Organization Name: Mid South Otolaryngology Associates P.c.
Primary Specialty: Otolaryngology
Enumeration Date: Dec 6, 2006
Last Updated: Oct 22, 2010

Practice Location

Address: 6890 ELMORE RD
Address 2: SUITE 2
City: Southaven
State: Mississippi
ZIP Code: 38671-9673
Phone: (662) 349-4250

Authorized Official

Name: ROBERT MOORE FISHER, MD
Title: OWNER
Phone: (662) 349-4250

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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