Desoto Ear, Nose &Throat

LBN: Desoto Ear, Nose &Throat
Desoto Ear, Nose &Throat is an health care organization with primary practice located at 7164 Hacks Cross Rd Ste 106 , Olive Branch MS 38654-3919. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as the primary health care specialty. Desoto Ear, Nose &Throat can be contacted via phone (662) 895-6455, or through Colvin, Greene Berry via phone (662) 895-6455.

Contact Information

Primary practice address
7164 Hacks Cross Rd Ste 106 Olive Branch MS 38654-3919
Phone: (662) 895-6455
Fax: (662) 895-6460
Website:
Map and Directions
Authorized official contact:
Name: Colvin, Greene Berry Doctor of Medicine (MD)
Phone: (662) 895-6455

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X

Profile Details

NPI number 1477644045
LBN Legal business name Desoto Ear, Nose &Throat
DBA Doing business as
Authorized official Colvin, Greene Berry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2006
Last updated Jun 9th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1477644045 NPPES
Mississippi MEDICAID 09016063

Popular Providers