Organization
EAR NOSE & THROAT GROUP PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERRY L COZART (OFFICE MANAGER)
(270) 575-0079
Entity
Organization
Contact information
Practice address
2601 KENTUCKY AVE, SUITE 201, PADUCAH, KY 42003
(270) 575-0079
(270) 575-0735
Mailing address
2601 KENTUCKY AVE, SUITE 201, PADUCAH, KY 42003
(270) 575-0079
(270) 575-0735
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
09/16/2006
Last updated
09/27/2007
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