Pediatric Ear, Nose & Throat Associates, P.c.

NPI #1154731917 in Knoxville, Tennessee

Provider Information

NPI Number: 1154731917
Entity Type: Organization
Organization Name: Pediatric Ear, Nose & Throat Associates, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: PEDIATRIC EAR, NOSE & THROAT ASSOCIATES, P.C.
Primary Specialty: Nurse Practitioner
Enumeration Date: May 2, 2014
Last Updated: May 2, 2014

Practice Location

Address: 2100 W CLINCH AVE
Address 2: STE 330
City: Knoxville
State: Tennessee
ZIP Code: 37916-2219
Phone: (865) 673-8229

Authorized Official

Name: JOE GRAVES, M.D.
Title: MEDICAL DOCTOR
Phone: (865) 673-8229

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner	363L00000X	Primary

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