NPI 1033312772

Ear,nose & Throat Surgical Clinic of South Central Ms

Organisation Otolaryngology/Facial Plastic Surgery Physician Laurel, MS

Practice location

Address: 306 S 12th Ave, Laurel, MS 39440-4327
Phone: (601) 649-9706
Fax: (601) 649-9708

Authorised official

Name: Carl Wayne Stevens
Title: President
Phone: (061) 649-9706

Registered specialties

Otolaryngology/Facial Plastic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207YX0905X Licence 15762 (MS)

Other Otolaryngology providers in Mississippi →

Registry record

NPI: 1033312772
Entity type: Organization
NPI issued: 8 Jun 2007
Record last updated: 21 May 2008

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.