Ethan Staats, | |
391 Heaton Forest Rd, Cashiers, NC 28717 | |
(828) 743-2558 | |
Not Available |
Full Name | Ethan Staats |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Location | 391 Heaton Forest Rd, Cashiers, North Carolina |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1194244012 | NPI | - | NPPES |
8893 | Other | GA | GA STATE BOARD |
00060299A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | 8893 (Georgia) | Primary |
Mailing Address | Practice Location Address |
---|---|
Ethan Staats, Po Box 2670, Cashiers, NC 28717-2670 Ph: (828) 743-2558 | Ethan Staats, 391 Heaton Forest Rd, Cashiers, NC 28717 Ph: (828) 743-2558 |
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