Organization
MEADOWVIEW EAR NOSE AND THROAT SPEC PC
Active
Other names
Meadowview ENT Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AYLITTA COLLINS (PRACTICE MANAGER)
(423) 246-8155
Entity
Organization
Contact information
Practice address
FIVE SHERIDAN SQUARE, KINGSPORT, TN 37660-7390
(423) 246-8155
(423) 246-8658
Mailing address
FIVE SHERIDAN SQUARE, KINGSPORT, TN 37660-7390
(423) 246-8155
(423) 246-8658
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65941577
—
KY
Enumeration date
06/21/2005
Last updated
06/01/2022
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