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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKSON EAR, NOSE AND THROAT PA

Active Organization

Otolaryngology · JACKSON, MS

Registration Details

NPI Number
1770790214
Provider Type
Organization
NPI Issued
May 16, 2007 (18.932434236361 yrs)
Last Updated
Dec 9, 2010
License
07717 (MS)

Practice Information

Address
1421 N STATE ST
SUITE 402
JACKSON, MS, 392021658
Browse MS providers · Browse ZIP 39202
Phone
6013527655
Fax
6013527658
Primary Specialty
Otolaryngology
207Y00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.