| NPI | 1710786066 |
|---|---|
| Doing Business As | LAKELANDS EAR NOSE AND THROAT |
| Entity Type | Organization |
| Authorized Contact | MATTHEW TOLBERT LOGAN President & CEO 864-725-4780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-03-10 |
| Last Update Date | 2025-03-10 |