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Ent Specialists,llc
Medical Specialty Clinic/Center in Conyers, Georgia
NPI 1427151687

Ent Specialists,llc is a Medical Specialty Clinic/Center based in Conyers, GA and is specialized in Medical Specialty. Ent Specialists,llc practices in Conyers, GA. The NPI Number for Ent Specialists,llc is 1427151687 and holds a License No. (Georgia).

The current practice location address for Ent Specialists,llc is 1370 Wellbrook Cir Ne, Conyers, GA and can be reached out via phone at 770-922-5458 and via fax at 770-922-0435.

Location: 1370 Wellbrook Cir Ne, Conyers, GA, 30012-3872
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427151687
Provider Name
Ent Specialists,llc
Credential
Provider Entity Type
Organization
Address
1370 Wellbrook Cir Ne, Conyers, GA, 30012-3872
Phone Number
770-922-5458
Fax Number
770-922-0435
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GRP4065 01 GA MEDICARE
CH9053 01 GA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
1370 Wellbrook Cir Ne
City
Conyers
State
Georgia
Zip
30012-3872
Phone Number
770-922-5458
Fax Number
770-922-0435
person
Provider Business Mailing Address Details
Address
1370 Wellbrook Cir Ne
City
Conyers
State
Georgia
Zip
30012-3872
Phone Number
770-922-5458
Fax Number
770-922-0435
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
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Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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