West Tennessee Ent Clinic, P.A. in Jackson - Otolaryngology
West Tennessee Ent Clinic, P.A. - NPI 1720070535
West Tennessee Ent Clinic, P.A. is a Otolaryngology in Jackson, Tennessee. West Tennessee Ent Clinic, P.A. practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for West Tennessee Ent Clinic, P.A. is 1720070535. The last update date is 2020-08-22.
West Tennessee Ent Clinic, P.A.'s current location address is 619 Skyline Dr, Jackson, Tennessee. You can contact this provider via phone number 7314243682 and fax number 7314232714. The mailing address for West Tennessee Ent Clinic, P.A. is 619 Skyline Dr, Jackson, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West Tennessee Ent Clinic, P.A. |
|---|---|
| Address | 619 Skyline Dr, Jackson, Tennessee |
| Phone Number | 7314243682 |
| Fax Number | 7314232714 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wainscott Keith William |
| Credentials | M.D. |
| Telephone Number | 7314243682 |
NPI Number Detail
| NPI Number | 1720070535 |
|---|---|
| Provider Enumeration Date | 2005-08-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 619 Skyline Dr |
|---|---|
| City | Jackson |
| State | Tennessee (TN) |
| Post Code | 383013903 |
| Phone Number | 7314243682 |
| Fax Number | 7314232714 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3382042 | TN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to West Tennessee Ent Clinic, P.A. by the Centers for Medicare & Medicaid Services?
The West Tennessee Ent Clinic, P.A. has been issued the NPI (National Provider Identifier) 1720070535 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of West Tennessee Ent Clinic, P.A.?
The West Tennessee Ent Clinic, P.A. is physically situated at 619 Skyline Dr, in the city of Jackson, state of TN, with the postal code 383013903.
What is the area of specialization for West Tennessee Ent Clinic, P.A., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for West Tennessee Ent Clinic, P.A. is Otolaryngology, and the corresponding taxonomy code that categorizes this area of expertise is 207Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1720070535 to West Tennessee Ent Clinic, P.A.?
The Centers for Medicare & Medicaid Services assigned the 1720070535 to West Tennessee Ent Clinic, P.A. on 2005-08-17.
As of what date were the West Tennessee Ent Clinic, P.A.'s details last updated?
The information pertaining to the West Tennessee Ent Clinic, P.A., including its address, specialty, and other details, was most recently updated on 2020-08-22.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY