institution
Ent Of Athens, Llc
Otolaryngology/Facial Plastic Surgery Physician in Athens, Georgia
NPI 1598822280

Ent Of Athens, Llc is a Otolaryngology/Facial Plastic Surgery Physician based in Athens, GA and is specialized in Otolaryngology/Facial Plastic Surgery. Ent Of Athens, Llc practices in Athens, GA. The NPI Number for Ent Of Athens, Llc is 1598822280 and holds a License No. 12368 (Georgia).

The current practice location address for Ent Of Athens, Llc is 150 Nacoochee Ave, Athens, GA and can be reached out via phone at 706-546-7908 and via fax at 706-546-0918.

Location: 150 Nacoochee Ave, Athens, GA, 30601-1823
institution
Provider Profile Details
NPI Number
1598822280
Provider Name
Ent Of Athens, Llc
Credential
Provider Entity Type
Organization
Address
150 Nacoochee Ave, Athens, GA, 30601-1823
Phone Number
706-546-7908
Fax Number
706-546-0918
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
581440304 01 GA INDIVIDUAL TAX ID
581198425 01 GA INDIVIDUAL TAX ID
000135902A 05 GA
000135924A 05 GA
institution
Provider Business Practice Location Address Details
Address
150 Nacoochee Ave
City
State
Zip
30601-1823
Phone Number
706-546-7908
Fax Number
706-546-0918
person
Provider Business Mailing Address Details
Address
150 Nacoochee Ave
City
State
Zip
30601-1823
Phone Number
706-546-7908
Fax Number
706-546-0918
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
License No.
12368 (Georgia)
Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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