| Otolaryngology Associates, Ltd | |
|
2430 5th St N, Columbus, MS 39705-2000 | |
| (662) 327-4432 | |
| (662) 327-9256 |
| Full Name | Otolaryngology Associates, Ltd |
|---|---|
| Type | Facility |
| Speciality | Otolaryngology |
| Location | 2430 5th St N, Columbus, Mississippi |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306891205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 231H00000X | Audiologist | (* (Not Available)) | Secondary |
| 207Y00000X | Otolaryngology | (* (Not Available)) | Primary |
| Provider Name | Justin Murray Garner |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1104952225 PECOS PAC ID: 9032201793 Enrollment ID: I20070827000034 |
| Provider Name | Courtney C Boatright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669777926 PECOS PAC ID: 7315112729 Enrollment ID: I20111214000273 |
| Provider Name | Robert Clayton Borden |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1710026034 PECOS PAC ID: 2365575719 Enrollment ID: I20120827000247 |
| Provider Name | Kylie L Harris |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1952787772 PECOS PAC ID: 7315257243 Enrollment ID: I20151105001107 |
| Provider Name | Steven P Smith |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1376804369 PECOS PAC ID: 5496032989 Enrollment ID: I20170510002647 |
| Provider Name | Michele L Henry |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1790764033 PECOS PAC ID: 8921170333 Enrollment ID: I20180220001782 |
| Provider Name | Brandi Davis |
|---|---|
| Provider Type | Practitioner - Qualified Audiologist |
| Provider Identifiers | NPI Number: 1821670035 PECOS PAC ID: 2961805049 Enrollment ID: I20230705000623 |
| Mailing Address | Practice Location Address |
|---|---|
| Otolaryngology Associates, Ltd 2430 5th St N, Columbus, MS 39705-2000 Ph: (662) 327-4432 | Otolaryngology Associates, Ltd 2430 5th St N, Columbus, MS 39705-2000 Ph: (662) 327-4432 |