NPI 1366560435

Coastal Ear, Nose and Throat, Head and Neck Surgery Associates, PLLC

Organisation Specialist Gulfport, MS

Practice location

Address: 407 Security Sq, Gulfport, MS 39507-1922
Phone: (228) 896-1987
Fax: (228) 896-1315

Authorised official

Name: Jason Smith
Title: Owner
Phone: (228) 863-6617

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X

Other Specialist providers in Mississippi →

Registry record

NPI: 1366560435
Entity type: Organization
NPI issued: 27 Mar 2007
Record last updated: 23 Apr 2015

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.