institution
Central Tennessee Ear Nose & Throat
Specialist in Clarksville, Tennessee
NPI 1033223896

Central Tennessee Ear Nose & Throat is a Specialist based in Clarksville, TN. Central Tennessee Ear Nose & Throat practices in Clarksville, TN. The NPI Number for Central Tennessee Ear Nose & Throat is 1033223896 and holds a License No. MD0000021029 (Tennessee).

The current practice location address for Central Tennessee Ear Nose & Throat is 787 Weatherly Dr, Clarksville, TN and can be reached out via phone at 931-647-1255 and via fax at 931-647-2399.

Location: 787 Weatherly Dr, Clarksville, TN, 37043-8949
institution
Provider Profile Details
NPI Number
1033223896
Provider Name
Central Tennessee Ear Nose & Throat
Credential
Provider Entity Type
Organization
Address
787 Weatherly Dr, Clarksville, TN, 37043-8949
Phone Number
931-647-1255
Fax Number
931-647-2399
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6039651 01 BLUECROSS
1524504 05 TN
621860059 01 TN TRICARE
institution
Provider Business Practice Location Address Details
Address
787 Weatherly Dr
City
State
Zip
37043-8949
Phone Number
931-647-1255
Fax Number
931-647-2399
person
Provider Business Mailing Address Details
Address
787 Weatherly Dr
City
State
Zip
37043-8949
Phone Number
931-647-1255
Fax Number
931-647-2399
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
MD0000021029 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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