Desoto Ear, Nose &Throat in Olive Branch - Otolaryngology
Desoto Ear, Nose &Throat - NPI 1477644045
Desoto Ear, Nose &Throat is a Otolaryngology in Olive Branch, Mississippi. Desoto Ear, Nose &Throat practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Desoto Ear, Nose &Throat is 1477644045. The last update date is 2020-06-09.
Desoto Ear, Nose &Throat's current location address is 7164 Hacks Cross Rd Ste 106, Olive Branch, Mississippi. You can contact this provider via phone number 6628956455 and fax number 6628956460. The mailing address for Desoto Ear, Nose &Throat is 7164 Hacks Cross Rd Ste 106, Olive Branch, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Desoto Ear, Nose &Throat |
|---|---|
| Address | 7164 Hacks Cross Rd Ste 106, Olive Branch, Mississippi |
| Phone Number | 6628956455 |
| Fax Number | 6628956460 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Colvin Berry Greene |
| Credentials | MD |
| Telephone Number | 6628956455 |
NPI Number Detail
| NPI Number | 1477644045 |
|---|---|
| Provider Enumeration Date | 2006-09-27 |
| Last Updated Date | 2020-06-09 |
Provider Mailing Address Detail
| Address | 7164 Hacks Cross Rd Ste 106 |
|---|---|
| City | Olive Branch |
| State | Mississippi (MS) |
| Post Code | 386543919 |
| Phone Number | 6628956455 |
| Fax Number | 6628956460 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9016063 | MS | -- |
Post Comment/ Review Below
What is the Desoto Ear, Nose &Throat's unique identification number?
The Desoto Ear, Nose &Throat has been assigned the NPI (National Provider Identifier) Number 1477644045 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Desoto Ear, Nose &Throat's physical address?
The Desoto Ear, Nose &Throat is physically located at 7164 Hacks Cross Rd Ste 106, in the city of Olive Branch, MS, with the postal code 386543919.
What is Desoto Ear, Nose &Throat's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Desoto Ear, Nose &Throat is Otolaryngology, and the taxonomy code that categorizes this field of expertise is 207Y00000X.
On what date did the Desoto Ear, Nose &Throat receive its 1477644045 assignment from the Centers for Medicare & Medicaid Services?
The Desoto Ear, Nose &Throat was assigned its 1477644045 by the Centers for Medicare & Medicaid Services on 2006-09-27.
As of what date were the Desoto Ear, Nose &Throat's details last updated?
The information pertaining to the Desoto Ear, Nose &Throat, including its address, specialty, and other details, was most recently updated on 2020-06-09.