Organization
LINCOLN EAR NOSE AND THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID GROCE (CFO)
(931) 433-1100
Entity
Organization
Contact information
Practice address
108 MEDICAL CENTER BLVD, SUITE 175, FAYETTEVILLE, TN 37334-2741
(931) 433-2909
(931) 438-7447
Mailing address
108 MEDICAL CENTER BLVD, SUITE 175, FAYETTEVILLE, TN 37334-2741
(931) 433-2909
(931) 438-7447
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
41519
TN
Other
Enumeration date
03/01/2011
Last updated
03/01/2011
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