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Organization

ROCKY TOP ENT & ALLERGY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN W HAFNER (OWNER)
(931) 219-9990
Entity
Organization

Contact information

Practice address
49 CLEVELAND ST STE 220, CROSSVILLE, TN 38555-2854
(931) 219-9990
(931) 717-1180
Mailing address
DEPT 8888620, KNOXVILLE, TN 37995-0001
(865) 670-6199

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
02/05/2024
Last updated
02/26/2024
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