Ear,nose & Throat Surgical Clinic Of South Central Ms, NPI 1033312772
Otolaryngology/Facial Plastic Surgery Physician in Laurel, MS, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1033312772
NPI Entity Type Organization
Provider Name Ear,nose & Throat Surgical Clinic Of South Central Ms
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 306 S 12th Ave, Laurel, MS, US
Provider Mailing Address 306 S 12th Ave, Laurel, MS, US, 394404327
Is Sole Proprietor? No
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Organization Official

Official Name DR. M.D. Carl Wayne Stevens II
Official Position PRESIDENT
Phone 61-649-9706

Group Taxonomy

Taxonomy Code 193400000X
Taxonomy Name 193400000X SINGLE SPECIALTY GROUP
Definition A business group of one or more individual practitioners, all of who practice with the same area of specialization.

Primary Taxonomy

Taxonomy Code

207YX0905X

Taxonomy Name Otolaryngology/Facial Plastic Surgery Physician
Classification

Otolaryngology

Group

Allopathic & Osteopathic Physicians

License No. 15762
License State MS
Description An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Business Address

Ear,nose & Throat Surgical Clinic Of South Central Ms
306 S 12th Ave

Laurel, MS, US

Phone: 601-649-9706
Fax: 601-649-9708

Mailing Address

Ear,nose & Throat Surgical Clinic Of South Central Ms
306 S 12th Ave
Laurel, MS, US
ZIP 394404327
Phone: 601-649-9706
Fax: 601-649-9708

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