Mississippi Ear, Nose and Throat Surgical Associates, PC

NPI #1679905210 in Flowood, Mississippi

Provider Information

NPI Number: 1679905210
Entity Type: Organization
Organization Name: Mississippi Ear, Nose and Throat Surgical Associates, PC
Primary Specialty: Specialist
Enumeration Date: Aug 6, 2013
Last Updated: May 28, 2014

Practice Location

Address: 2550 FLOWOOD DR
Address 2: SUITE 303
City: Flowood
State: Mississippi
ZIP Code: 39232-9303
Phone: (601) 709-7707

Authorized Official

Name: DR. CLARENCE M OSBORNE, M.D.
Title: MEDICAL DIRECTOR
Phone: (601) 709-7707

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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