NPI 1881769032
Ear, Nose and Throat & Facial Plastic Surgery, P.A.
Practice location
- Address
- 107 Millsaps Dr, Hattiesburg, MS 39402-1348
- Phone
- (601) 268-5131
- Fax
- (601) 268-5138
- Mailing address
- PO Box 17829, Hattiesburg, MS 39404-7829
Authorised official
- Name
- Charles Edwin Guice
- Title
- President
- Phone
- (601) 268-5131
Registered specialties
Otolaryngology/Facial Plastic Surgery Physician
Primary
Registry record
- NPI
- 1881769032
- Entity type
- Organization
- NPI issued
- 22 Nov 2006
- Record last updated
- 4 Feb 2010
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.