West Tennessee Ent Clinic, P.a.

NPI #1720070535 in Jackson, Tennessee

Provider Information

NPI Number: 1720070535
Entity Type: Organization
Organization Name: West Tennessee Ent Clinic, P.a.
Primary Specialty: Otolaryngology
Enumeration Date: Aug 17, 2005
Last Updated: Aug 22, 2020

Practice Location

Address: 619 SKYLINE DR
City: Jackson
State: Tennessee
ZIP Code: 38301-3903
Phone: (731) 424-3682

Authorized Official

Name: DR. WILLIAM KEITH WAINSCOTT, M.D.
Title: PRESIDENT
Phone: (731) 424-3682

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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