Cleveland Head & Neck Clinic in Cleveland - Otolaryngology/facial Plastic Surgery

Cleveland Head & Neck Clinic - NPI 1255469235

Cleveland Head & Neck Clinic is a Otolaryngology/facial Plastic Surgery in Cleveland, Tennessee. Cleveland Head & Neck Clinic practices all healthcare services and medical treatments related to Otolaryngology/facial Plastic Surgery. The NPI Number for Cleveland Head & Neck Clinic is 1255469235. The last update date is 2020-08-22.

Cleveland Head & Neck Clinic's current location address is 2414 Chambliss Ave Nw, Cleveland, Tennessee. You can contact this provider via phone number 4234726581 and fax number 4234722425. The mailing address for Cleveland Head & Neck Clinic is 2414 Chambliss Ave Nw, Cleveland, Tennessee. To know further, please read the information below!

Provider Profile Detail

Provider Organization Cleveland Head & Neck Clinic
Address 2414 Chambliss Ave Nw, Cleveland, Tennessee
Phone Number 4234726581
Fax Number 4234722425
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Byrd Jack
Credentials MD
Telephone Number 4234726581

NPI Number Detail

NPI Number 1255469235
Provider Enumeration Date 2007-03-01
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 2414 Chambliss Ave Nw
City Cleveland
State Tennessee (TN)
Post Code 373113879
Phone Number 4234726581
Fax Number 4234722425

Provider's Primary Taxonomy Detail

Speciality Otolaryngology/facial Plastic Surgery
Taxonomy 207Yx0905X
Definition:
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3386305 TN --
24126 TN BCBS

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FAQs about Cleveland Head & Neck Clinic

What is the Cleveland Head & Neck Clinic's unique identification number?

The Cleveland Head & Neck Clinic has been assigned the NPI (National Provider Identifier) Number 1255469235 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete physical address where Cleveland Head & Neck Clinic is located?

The Cleveland Head & Neck Clinic is situated at the following address: 2414 Chambliss Ave Nw, Cleveland, TN, 373113879.

What is the Cleveland Head & Neck Clinic's specialty and taxonomy code?

The Cleveland Head & Neck Clinic's specialty is Otolaryngology/facial Plastic Surgery, and the corresponding taxonomy code is 207Yx0905X.

On what date did the Centers for Medicare & Medicaid Services assign the 1255469235 to Cleveland Head & Neck Clinic?

The Centers for Medicare & Medicaid Services assigned the 1255469235 to Cleveland Head & Neck Clinic on 2007-03-01.

When was the information pertaining to Cleveland Head & Neck Clinic most recently updated or revised?

The details related to Cleveland Head & Neck Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.

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