| NPI | 1750335980 |
|---|---|
| Former Legal Business Name | GOWDA EAR NOSE & THROAT CLINIC, P.C. |
| Entity Type | Organization |
| Authorized Contact | DAVID SCOTT FORTUNE Secretary 615-889-8802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2009-08-11 |