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Organization

PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOE A. GRAVES M.D. (PRESIDENT)
(865) 673-8229
Entity
Organization

Contact information

Practice address
2100 W CLINCH AVE, SUITE 330, KNOXVILLE, TN 37916-2219
(865) 673-8229
(865) 673-8893
Mailing address
2100 W CLINCH AVE, SUITE 330, KNOXVILLE, TN 37916-2219
(865) 673-8229
(865) 673-8893

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
23686
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3068753
TN
Enumeration date
09/27/2011
Last updated
09/27/2011
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