Organization
MID-SOUTH EAR, NOSE, AND THROAT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE L FETTERMAN MD (PRESIDENT)
(901) 755-5300
Entity
Organization
Contact information
Practice address
7600 WOLF RIVER BLVD, SUITE 220, GERMANTOWN, TN 38138-1785
(901) 755-5300
(901) 753-9659
Mailing address
8001 CENTERVIEW PKWY, SUITE 202, CORDOVA, TN 38018-4228
(901) 755-5300
(901) 753-9659
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
TN
Other
Enumeration date
08/21/2006
Last updated
07/24/2025
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