Organization
CANONICO EAR, NOSE AND THROAT, P.C.
Active
Other names
Ear, Nose and Throat Associates of Middle Tennessee, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
TANDIE L MOYERS (OFFICE MANAGER)
(931) 684-3504
Entity
Organization
Contact information
Practice address
507 NW ATLANTIC ST, TULLAHOMA, TN 37388-3504
(931) 393-4332
(931) 393-2304
Mailing address
507 NW ATLANTIC ST, TULLAHOMA, TN 37388-3504
(931) 393-4332
(931) 393-2304
Taxonomy
Speciality
Code
Description
License number
State
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3710667
RAILROAD MEDICARE
TN
05
—
3710667
—
TN
01
—
4064287
BLUECROSS BLUESHIELD
TN
Enumeration date
03/08/2006
Last updated
04/20/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us