Organization
PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.
Active
Parent organization
PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.
Authorized official
JOE GRAVES M.D. (MEDICAL DOCTOR)
(865) 673-8229
Entity
Organization
Contact information
Practice address
2100 W CLINCH AVE, STE 330, KNOXVILLE, TN 37916-2219
(865) 673-8229
Mailing address
2100 W. CLINCH AVENUE, STE 330, KNOXVILLE, TN 37916
(865) 673-8229
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
18690
TN
Other
Enumeration date
05/02/2014
Last updated
05/02/2014
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