Organization
EWING-EAR, NOSE & THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES E EWING MD (OWNER)
(270) 465-3595
Entity
Organization
Contact information
Practice address
105 GREENBRIAR DR, SUITE A, CAMPBELLSVILLE, KY 42718-9617
(270) 465-3595
(270) 789-2044
Mailing address
105 GREENBRIAR DR, SUITE A, CAMPBELLSVILLE, KY 42718-9617
(270) 465-3595
(270) 789-2044
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
29697
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054088
ANTHEM BLUE CROSS GROUP
KY
05
—
65931966
—
KY
Enumeration date
01/11/2007
Last updated
04/28/2008
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