Northwest Mississippi Otolaryngology Head & Neck Surgery, LLC
NPI #1790006674 in Southaven, Mississippi
Provider Information
- NPI Number
- 1790006674
- Entity Type
- Organization
- Organization Name
- Northwest Mississippi Otolaryngology Head & Neck Surgery, LLC
- Primary Specialty
- Otolaryngology
- Enumeration Date
- Jun 15, 2010
- Last Updated
- Jun 15, 2010
Practice Location
- Address
- 7165 GETWELL RD
- Address 2
- BUILDING H, SUITE 1
- City
- Southaven
- State
- Mississippi
- ZIP Code
- 38672-9618
- Phone
- (662) 349-7676
Authorized Official
- Name
- JEFFREY JORDAN CUNNINGHAM, M.D.
- Title
- OWNER
- Phone
- (662) 349-7676
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
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