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NPI Profile for CANONICO EAR NOSE AND THROAT PC in TULLAHOMA, TN.
An otolaryngologist with additional training in plastic and reconstructive procedures within the head, face, neck and associated structures, including cutaneous head and neck oncology and reconstruction, management of maxillofacial trauma, soft tissue repair and neural surgery. The field is diverse and involves a wide age range of patients, from the newborn to the aged. While both cosmetic and reconstructive surgeries are practiced, there are many additional procedures which interface with them.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Plastic Surgery within the Head & Neck |
207YX0007X | 04 | Physician/Otolaryngology |
| NPI # | 1932177805 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 03/08/2006 | |
| Last updated | 04/20/2021 - About 5 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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CANONICO EAR, NOSE AND THROAT, P.C.