EAR NOSE AND THROAT SURGICAL GROUP is a specialist in Jackson, MS. The provider is 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. EAR NOSE AND THROAT SURGICAL GROUP NPI is 1699810069. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
970 LAKELAND DR STE 40
JACKSON, MS
ZIP 39216-640
Phone: (601) 200-4850
The provider's authorized official is Mickey P Wallace .
The authorized official title is Physician and has the following contact phone number (601) 898-7000.
The enumeration date for this NPI number is 2/21/2007 and was last updated on 8/10/2011.