Organization · Type 2 NPI

Ear Nose and Throat Surgical Group

Specialist · Jackson, MS

NPI number 1699810069 Active

Practice location

970 Lakeland Dr Ste 40
Jackson, MS 39216-4640

Call (601) 200-4850 Map

Mailing address

PO Box 23666
Jackson, MS 39225

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X08819 (MS)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

6 other providers at this address

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About NPI 1699810069

Ear Nose and Throat Surgical Group's National Provider Identifier is 1699810069, issued on Feb 21, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Jackson, MS. The record was last updated on Aug 10, 2011.