Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ear Nose & Throat Surgical Group

Organization Otolaryngology Physician · NPI 1881712057

Ear Nose & Throat Surgical Group is an Otolaryngology Physician in Jackson, Mississippi. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

764 Lakeland Dr Ste 200
Jackson, MS 39216-4617
Phone: (601) 982-0611
Fax: (601) 321-1647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X

Record details

NPI number1881712057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Karen Alford — Cfo Administrator · (601) 321-1626
NPI enumeratedMarch 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address764 Lakeland Drive, Suite 200, Jackson, MS 39216-4617

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