Ear Nose Throat & Specialist-Cherokee Sinus Center

NPI #1154445930 in Canton, Georgia

Provider Information

NPI Number: 1154445930
Entity Type: Organization
Organization Name: Ear Nose Throat & Specialist-Cherokee Sinus Center
Primary Specialty: Specialist
Enumeration Date: Mar 19, 2007
Last Updated: Oct 9, 2015

Practice Location

Address: 215 RIVERSTONE DR
City: Canton
State: Georgia
ZIP Code: 30114-5256
Phone: (770) 345-6600

Authorized Official

Name: RONALD VAN TUYL JR.
Title: PHYSICIAN
Phone: (770) 345-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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