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Organization

CANONICO EAR, NOSE AND THROAT, P.C.

Active
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Organization

CANONICO EAR, NOSE AND THROAT, P.C.

Active
Other names
Ear, Nose and Throat Associates of Middle Tennessee, P.C.
Organization subpart
No

Provider details

NPI number
Authorized official
TANDIE L MOYERS (OFFICE MANAGER)
(931) 684-3504
Entity
Organization

Contact information

Practice address
507 NW ATLANTIC ST, TULLAHOMA, TN 37388-3504
(931) 393-4332
(931) 393-2304
Mailing address
507 NW ATLANTIC ST, TULLAHOMA, TN 37388-3504
(931) 393-4332
(931) 393-2304

Taxonomy

Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
NULL
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—

Other

Enumeration date
03/08/2006
Last updated
04/20/2021
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