| NPI | 1134981947 |
|---|---|
| Doing Business As | LAKELANDS EAR NOSE AND THROAT |
| Entity Type | Organization |
| Authorized Contact | MATTHEW TOLBERT LOGAN CEO 864-725-4780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 231H00000X Audiologist |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-06-12 |