Individual
DR. HEATH CHARLES TENNYSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1134 N MAIN ST STE 3100, BELLEFONTAINE, OH 43311-0017
(937) 592-9799
(937) 592-9789
Mailing address
205 E PALMER RD, BELLEFONTAINE, OH 43311-2281
(937) 592-9799
(937) 592-9789
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
1057676A
IN
207Y00000X
Otolaryngology Physician
Primary
35.120409
OH
207Y00000X
Otolaryngology Physician
49866
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0078122
—
OH
05
—
3810024975
—
WV
05
—
970673
—
AZ
Enumeration date
01/26/2006
Last updated
02/04/2025
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