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Contact Information

SOUTH MISSISSIPPI EAR, NOSE AND THROAT
2525 TELEPHONE ROAD
PASCAGOULA, MS39567
 Phone: 228-762-4483
 Fax: 228-769-0406
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for SOUTH MISSISSIPPI EAR, NOSE AND THROAT

NPI Number 1386979961
LBN Legal business name SOUTH MISSISSIPPI EAR, NOSE AND THROAT
Authorized official DONALD DAVENPORT - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 10/15/2009
Last updated 10/15/2009 - About 17 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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