Ear,Nose & Throat Surgical Clinic Of South Central Ms

LBN: Ear,Nose & Throat Surgical Clinic Of South Central Ms
Ear,Nose & Throat Surgical Clinic Of South Central Ms is an health care organization with primary practice located at 306 S 12Th Ave , Laurel MS 39440-4327. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as the primary health care specialty. Ear,Nose & Throat Surgical Clinic Of South Central Ms can be contacted via phone (601) 649-9706, or through Stevens, Carl Wayne via phone (061) 649-9706.

Contact Information

Primary practice address
306 S 12Th Ave Laurel MS 39440-4327
Phone: (601) 649-9706
Fax: (601) 649-9708
Website:
Map and Directions
Authorized official contact:
Name: Stevens, Carl Wayne Doctor of Medicine (MD)
Phone: (061) 649-9706

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 15762 Mississippi

Profile Details

NPI number 1033312772
LBN Legal business name Ear,Nose & Throat Surgical Clinic Of South Central Ms
DBA Doing business as
Authorized official Stevens, Carl Wayne Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2007
Last updated May 21st, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033312772 NPPES
Mississippi MEDICAID 09301826

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