OrganizationActive
Canonico Ear, Nose and Throat, P.C.
NPI 1932177805 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Tullahoma, TN
Provider details
- NPI number
- 1932177805
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Tandie Moyers, Office Manager(931) 684-3504
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
507 Nw Atlantic St
Tullahoma, TN 37388-3504
Phone: (931) 393-4332
Fax: (931) 393-2304
Approximate (ZIP-level) locationGet directions
Mailing address
507 Nw Atlantic St
Tullahoma, TN 37388-3504
Other names (DBA / former)
- Former legal business name
- Ear, Nose and Throat Associates of Middle Tennessee, P.C.
Registry dates
- Enumerated
- 2006-03-08
- Last updated
- 2021-04-20
- Certified
- 2021-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.