NPI 1023734878

Ent Surgical Group, PLLC

Organisation Otolaryngology Physician Madison, MS

Practice location

Address: 138 Park Place Blvd, Madison, MS 39110
Phone: (601) 898-7500

Authorised official

Name: Kyle Gordon
Title: Owner
Phone: (601) 898-7500

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Mississippi →

Registry record

NPI: 1023734878
Entity type: Organization
NPI issued: 13 Oct 2022
Record last updated: 13 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.