NPI

Canonico Ear, Nose and Throat, P.C.

NPI 1932177805

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2006-03-08
Last updated
2021-04-20

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
507 NW Atlantic St
City
Tullahoma TN
Postal code
37388-3504
Phone
(931) 393-4332

Organization contact

Name
Tandie Moyers
Title
Office Manager
Phone
(931) 684-3504

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

Other NPIs in Tullahoma, TN. 813 records in the public file.

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