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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

NPI Number 1477541670
LBN Legal business name FAMILY EAR NOSE & THROAT CARE
Authorized official TRACI CATO - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/11/2005
Last updated 03/19/2008 - About 18 years ago
Identifiers
MS Medicaid 00017484
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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