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
Update your record
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