Otolaryngology Center of East Tennessee PC

NPI #1639197593 in Maryville, Tennessee

Provider Information

NPI Number: 1639197593
Entity Type: Organization
Organization Name: Otolaryngology Center of East Tennessee PC
Primary Specialty: Otolaryngology
Enumeration Date: Jul 18, 2006
Last Updated: Sep 15, 2015

Practice Location

Address: 275 CHEROKEE PROFESSIONAL PARK
City: Maryville
State: Tennessee
ZIP Code: 37804-5155
Phone: (865) 983-4090

Authorized Official

Name: SANDRA J. GELLINGER
Title: OFFICE MANAGER
Phone: (865) 983-4090

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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