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Contact Information

FAMILY EAR NOSE & THROAT CARE
60 PHYSICIANS LN
STE 1
SOUTHAVEN, MS38671-6122
 Phone: 662-349-0707
 Fax: 662-349-0708
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for FAMILY EAR NOSE THROAT CARE · (Female)

NPI Number 1477541670
Status Active
Credentials
Entity Individual
Enumeration date 10/11/2005
Last updated 03/19/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • MS Medicaid 00017484
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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