Provider Demographics
NPI:1407118813
Name:SMOKY MOUNTAIN HEARING SPECIALISTS, INC.
Entity type:Organization
Organization Name:SMOKY MOUNTAIN HEARING SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRETT
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:PARISH
Authorized Official - Suffix:
Authorized Official - Credentials:HIS
Authorized Official - Phone:423-307-8846
Mailing Address - Street 1:1501 E MORRIS BLVD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:MORRISTOWN
Mailing Address - State:TN
Mailing Address - Zip Code:37813-5776
Mailing Address - Country:US
Mailing Address - Phone:423-307-8846
Mailing Address - Fax:423-289-1258
Practice Address - Street 1:1501 E MORRIS BLVD
Practice Address - Street 2:SUITE 11
Practice Address - City:MORRISTOWN
Practice Address - State:TN
Practice Address - Zip Code:37813-5776
Practice Address - Country:US
Practice Address - Phone:423-307-8846
Practice Address - Fax:423-289-1258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN733237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument SpecialistGroup - Single Specialty