# PEDIATRIC OTOLARYNGOLOGY HEAD AND NECK SURGERY,PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235162298
- **Authorized official:** DR. JOHN P LITTLE M.D. (CHIEF MANAGER)
- **Authorized official phone:** (865) 521-6005

## Contact information

- **Practice address:** 2100 W CLINCH AVE, SUITE 410, KNOXVILLE, TN 37916-2219
- **Practice address phone:** (865) 521-6005
- **Practice address fax:** (865) 521-6088
- **Mailing address:** 2100 W CLINCH AVE, SUITE 410, KNOXVILLE, TN 37916-2219
- **Mailing address phone:** (865) 521-6005
- **Mailing address fax:** (865) 521-6088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YP0228X | Pediatric Otolaryngology Physician | — | TN | Yes |

## Other

- **Enumeration date:** 07/09/2006
- **Last updated:** 08/22/2020
