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Organization

EAR NOSE THROAT & SPECIALIST-CHEROKEE SINUS CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD VAN TUYL JR. (PHYSICIAN)
(770) 345-6600
Entity
Organization

Contact information

Practice address
215 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-6600
(770) 345-6611
Mailing address
215 RIVERSTONE DR, CANTON, GA 30114-5256
(770) 345-6600
(770) 345-6611

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
030684
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000509187Q
GA
Enumeration date
03/19/2007
Last updated
10/09/2015
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