Organization
EAR NOSE AND THROAT ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY PAUL ZAJONC MD (PARTNER/PRESIDENT)
(423) 929-9101
Entity
Organization
Contact information
Practice address
2340 KNOB CREEK RD STE 704, JOHNSON CITY, TN 37604-2977
(423) 929-9101
(423) 434-2032
Mailing address
2340 KNOB CREEK RD STE 704, JOHNSON CITY, TN 37604-2977
(423) 929-9101
(423) 434-2032
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA7519
RAILROAD MEDICARE
TN
Enumeration date
07/02/2006
Last updated
11/03/2022
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