Canonico Ear, Nose And Throat, P.C. in Tullahoma - Plastic Surgery Within The Head & Neck
Canonico Ear, Nose And Throat, P.C. - NPI 1932177805
Canonico Ear, Nose And Throat, P.C. is a Plastic Surgery Within The Head & Neck in Tullahoma, Tennessee. Canonico Ear, Nose And Throat, P.C. practices all healthcare services and medical treatments related to Plastic Surgery Within The Head & Neck. The NPI Number for Canonico Ear, Nose And Throat, P.C. is 1932177805. The last update date is 2021-04-20.
Canonico Ear, Nose And Throat, P.C.'s current location address is 507 Nw Atlantic St, Tullahoma, Tennessee. You can contact this provider via phone number 9313934332 and fax number 9313932304. The mailing address for Canonico Ear, Nose And Throat, P.C. is 507 Nw Atlantic St, Tullahoma, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Canonico Ear, Nose And Throat, P.C. |
|---|---|
| Address | 507 Nw Atlantic St, Tullahoma, Tennessee |
| Phone Number | 9313934332 |
| Fax Number | 9313932304 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Moyers L Tandie |
| Telephone Number | 9316843504 |
NPI Number Detail
| NPI Number | 1932177805 |
|---|---|
| Provider Enumeration Date | 2006-03-08 |
| Last Updated Date | 2021-04-20 |
Provider Mailing Address Detail
| Address | 507 Nw Atlantic St |
|---|---|
| City | Tullahoma |
| State | Tennessee (TN) |
| Post Code | 373883504 |
| Phone Number | 9313934332 |
| Fax Number | 9313932304 |
Provider's Primary Taxonomy Detail
| Speciality | Plastic Surgery Within The Head & Neck |
|---|---|
| Taxonomy | 207Yx0007X |
|
Definition: An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissu |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4064287 | TN | BLUECROSS BLUESHIELD | |
| 3710667 | TN | -- | |
| 3710667 | TN | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Canonico Ear, Nose And Throat, P.C.'s unique identification number?
The Canonico Ear, Nose And Throat, P.C. has been assigned the NPI (National Provider Identifier) Number 1932177805 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Canonico Ear, Nose And Throat, P.C. is physically located?
The Canonico Ear, Nose And Throat, P.C. is physically situated at the following address: 507 Nw Atlantic St, Tullahoma, TN, 373883504.
What is Canonico Ear, Nose And Throat, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Canonico Ear, Nose And Throat, P.C.'s specialized field of practice is Plastic Surgery Within The Head & Neck, and the corresponding taxonomy code that categorizes this area of specialization is 207Yx0007X.
On what date did the Centers for Medicare & Medicaid Services issue the 1932177805 to Canonico Ear, Nose And Throat, P.C.?
The Canonico Ear, Nose And Throat, P.C. received its 1932177805 assignment from the Centers for Medicare & Medicaid Services on 2006-03-08.
As of what date was the information regarding Canonico Ear, Nose And Throat, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Canonico Ear, Nose And Throat, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-04-20.