Organization
EAR, NOSE, THROAT, AND ALLERGY SPECIALISTS
Active
Parent organization
EAR, NOSE, THROAT, AND ALLERGY SPECIALISTS
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAR, NOSE, THROAT, AND ALLERGY SPECIALISTS
Authorized official
DR. RONALD VAN TUYL JR. M.D (PRESIDENT)
(770) 345-6600
Entity
Organization
Contact information
Practice address
80A INTERSTATE SOUTH DR, JASPER, GA 30143-6226
(770) 345-6600
(770) 345-6611
Mailing address
80A INTERSTATE SOUTH DR, JASPER, GA 30143-6226
(770) 345-6600
(770) 345-6611
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
30684
GA
Other
Enumeration date
08/14/2013
Last updated
08/14/2013
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