| NPI | 1003494352 |
|---|---|
| Doing Business As | ETCH PEDIATRIC PLASTIC AND RECONSTRUCTIVE SURGERY |
| Entity Type | Organization |
| Authorized Contact | CARYN HAWTHORNE CFO / Vice President Finance 865-541-8181 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208000000X Pediatrics |
| 208200000X Plastic Surgery | |
| 2086S0120X Surgery, Pediatric Surgery | |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2021-03-30 |
| Last Update Date | 2023-06-21 |