Organization Name: | EAR NOSE THROAT & SPECIALIST-CHEROKEE SINUS CENTER |
NPI Number: | 1154445930 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RONALD VAN TUYL (PHYSICIAN) |
Mailing Address: | 215 Riverstone Dr Canton |
State: | GA US |
Postal Code: | 301145256 |
Phone Number: | 7703456600 |
Fax Number: | 7703456611 |
NPI Enumeration Date: | 03/19/2007 |
NPI Last Update Date: | 10/09/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 030684 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |