Ear,Nose & Throat Surgical Clinic Of South Central Ms in Laurel - Otolaryngology/facial Plastic Surgery
Ear,Nose & Throat Surgical Clinic Of South Central Ms - NPI 1033312772
Ear,Nose & Throat Surgical Clinic Of South Central Ms is a Otolaryngology/facial Plastic Surgery in Laurel, Mississippi. Ear,Nose & Throat Surgical Clinic Of South Central Ms practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Ear,Nose & Throat Surgical Clinic Of South Central Ms is 1033312772. The last update date is 2008-05-21.
Ear,Nose & Throat Surgical Clinic Of South Central Ms's current location address is 306 S 12th Ave, Laurel, Mississippi. You can contact this provider via phone number 6016499706 and fax number 6016499708. The mailing address for Ear,Nose & Throat Surgical Clinic Of South Central Ms is 306 S 12th Ave, Laurel, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Ear,Nose & Throat Surgical Clinic Of South Central Ms |
|---|---|
| Address | 306 S 12th Ave, Laurel, Mississippi |
| Phone Number | 6016499706 |
| Fax Number | 6016499708 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Stevens Wayne Carl |
| Credentials | M.D. |
| Telephone Number | 616499706. |
NPI Number Detail
| NPI Number | 1033312772 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2008-05-21 |
Provider Mailing Address Detail
| Address | 306 S 12th Ave |
|---|---|
| City | Laurel |
| State | Mississippi (MS) |
| Post Code | 394404327 |
| Phone Number | 6016499706 |
| Fax Number | 6016499708 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology/facial Plastic Surgery |
|---|---|
| Taxonomy | 207Yx0905X |
| Licence No | 15762 |
|
Definition: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9301826 | MS | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ear,Nose & Throat Surgical Clinic Of South Central Ms by the Centers for Medicare & Medicaid Services?
The Ear,Nose & Throat Surgical Clinic Of South Central Ms has been issued the NPI (National Provider Identifier) 1033312772 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Ear,Nose & Throat Surgical Clinic Of South Central Ms?
The Ear,Nose & Throat Surgical Clinic Of South Central Ms is situated at 306 S 12Th Ave, in the city of Laurel, state of MS, with the zip code 394404327.
What is the area of specialization for Ear,Nose & Throat Surgical Clinic Of South Central Ms, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Ear,Nose & Throat Surgical Clinic Of South Central Ms is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code that categorizes this area of expertise is 207Yx0905X.
When was the Ear,Nose & Throat Surgical Clinic Of South Central Ms's 1033312772 issued?
The Ear,Nose & Throat Surgical Clinic Of South Central Ms's 1033312772 was issued on 2007-06-08.
As of what date were the details related to Ear,Nose & Throat Surgical Clinic Of South Central Ms most recently updated or revised?
The information pertaining to Ear,Nose & Throat Surgical Clinic Of South Central Ms, including its address, specialty, and other relevant details, was last updated or revised on 2008-05-21.