NPI 1851496905

Laurel Ear, Nose, and Throat Surgical Clinic

Organisation Otolaryngology Physician Laurel, MS

Practice location

Address: 128 S 11th Ave, Laurel, MS 39440-4313
Phone: (601) 649-8732
Fax: (601) 649-5051

Authorised official

Name: Michael P Brooks
Title: President/Owner
Phone: (601) 649-8732

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 06389 (MS)

Other Otolaryngology providers in Mississippi →

Registry record

NPI: 1851496905
Entity type: Organization
NPI issued: 13 Sep 2006
Record last updated: 22 Aug 2020

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.