Ear, Nose, Throat, and Allergy Specialists

NPI #1265865232 in Jasper, Georgia

Provider Information

NPI Number: 1265865232
Entity Type: Organization
Organization Name: Ear, Nose, Throat, and Allergy Specialists
Subpart: Yes (part of a larger organization)
Parent Organization: EAR, NOSE, THROAT, AND ALLERGY SPECIALISTS
Primary Specialty: Otolaryngology
Enumeration Date: Aug 14, 2013
Last Updated: Aug 14, 2013

Practice Location

Address: 80A INTERSTATE SOUTH DR
City: Jasper
State: Georgia
ZIP Code: 30143-6226
Phone: (770) 345-6600

Authorized Official

Name: DR. RONALD VAN TUYL JR., M.D
Title: PRESIDENT
Phone: (770) 345-6600

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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