INTEGRATED FACIAL AESTHETICS PLLC NPI 1689526741

NPI Information

  • NPI: 1689526741
  • Provider Name: INTEGRATED FACIAL AESTHETICS, PLLC
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Organization
  • Address: 1821 N WASHINGTON ST
    TULLAHOMA, TN
    ZIP 37388
  • Phone: (931) 455-2005

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NPI Details

INTEGRATED FACIAL AESTHETICS, PLLC is an otolaryngology/facial plastic surgery otolaryngology in Tullahoma, TN. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. INTEGRATED FACIAL AESTHETICS, PLLC NPI is 1689526741. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1821 N WASHINGTON ST
TULLAHOMA, TN
ZIP 37388-221
Phone: (931) 455-2005
Fax: (931) 455-4450

The provider's authorized official is Tracy Hickerson .
The authorized official title is Credentialing Facilitator and has the following contact phone number (931) 461-5056.

The enumeration date for this NPI number is 2/11/2026 and was last updated on 2/11/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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