Ear,nose & Throat Surgical Clinic Of South Central Ms, NPI 1033312772
Otolaryngology/Facial Plastic Surgery Physician in Laurel, MS, US
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 |
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 | |
| Taxonomy Name | Otolaryngology/Facial Plastic Surgery Physician |
| Classification | |
| Group | |
| License No. | 15762 |
| License State | MS |
| Description | An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
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IDD WAIVER SERVICES Pamela Mcandrews Individual |
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