Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canonico Ear, Nose and Throat, PC

Organization Plastic Surgery within the Head & Neck (Otolaryngology) Physician · NPI 1932177805

Canonico Ear, Nose and Throat, PC is a Plastic Surgery within the Head & Neck (Otolaryngology) Physician in Tullahoma, Tennessee. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

507 NW Atlantic St
Tullahoma, TN 37388-3504
Phone: (931) 393-4332
Fax: (931) 393-2304
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Plastic Surgery within the Head & Neck (Otolaryngology) Physician (primary) Taxonomy 207YX0007X

Record details

NPI number1932177805
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tandie Moyers — Office Manager · (931) 684-3504
Other names Ear, Nose And Throat Associates Of Middle Tennessee, P.C.
NPI enumeratedMarch 8, 2006
Last updated in NPPESApril 20, 2021
Certification dateApril 20, 2021
Mailing address507 Nw Atlantic St, Tullahoma, TN 37388-3504

Other providers in Tullahoma