Desoto Ear, Nose &throat
Otolaryngology Physician in Olive Branch, MS(View on Map)
Legal Business Name
Desoto Ear, Nose &throat
NPI Number
1477644045
NPI Type
Organization
Enumeration Date
09/27/2006
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
7164 HACKS CROSS RD STE 106
7164 HACKS CROSS RD STE 106
City
Olive Branch
Olive Branch
State
MS
MS
Postal Code
38654-3919
38654-3919
Country
US
US
Telephone Number
(662) 895-6455
(662) 895-6455
Authorized Official
Name
Greene Colvin
Title or Position
OWNER
Telephone Number
(662) 895-6455
Identifiers
Identifier
09016063
Identifier State
MS
Identifier Issuer
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 06/09/2020