Provider Demographics
NPI:1730388117
Name:EAR NOSE & THROAT SPECIALISTS OF NASHVILLE PLC
Entity type:Organization
Organization Name:EAR NOSE & THROAT SPECIALISTS OF NASHVILLE PLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:QUINESHA
Authorized Official - Middle Name:
Authorized Official - Last Name:BEVELS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-832-2200
Mailing Address - Street 1:393 WALLACE RD
Mailing Address - Street 2:SUITE A-202
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37211-4880
Mailing Address - Country:US
Mailing Address - Phone:615-860-0360
Mailing Address - Fax:615-860-0360
Practice Address - Street 1:341 WALLACE RD STE D
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37211-8001
Practice Address - Country:US
Practice Address - Phone:615-832-2200
Practice Address - Fax:615-832-2020
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-16
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN42482207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty