Organization
EAST TENNESSEE EAR, NOSE & THROAT SPECIALISTS, PC
Active
Other names
East Tennessee Otolarynology Head and Neck Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY MICHELLE SMITH (PRACTICE MANAGER)
(865) 483-2288
Entity
Organization
Contact information
Practice address
1 TRILLIUM WAY, CORBIN, KY 40701-8426
(606) 523-8770
Mailing address
800 OAK RIDGE TPKE, SUITE C-100, OAK RIDGE, TN 37830-6957
(865) 483-2288
(865) 482-4400
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65904229
—
KY
Enumeration date
05/04/2007
Last updated
05/17/2023
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