institution
Ear, Nose & Throat Plastic Surgery Center
Otolaryngology/Facial Plastic Surgery Physician in Douglasville, Georgia
NPI 1821163577

Ear, Nose & Throat Plastic Surgery Center is a Otolaryngology/Facial Plastic Surgery Physician based in Douglasville, GA and is specialized in Otolaryngology/Facial Plastic Surgery. Ear, Nose & Throat Plastic Surgery Center practices in Douglasville, GA. The NPI Number for Ear, Nose & Throat Plastic Surgery Center is 1821163577 and holds a License No. (Georgia).

The current practice location address for Ear, Nose & Throat Plastic Surgery Center is 6130 Prestley Mill Rd Ste C, Douglasville, GA and can be reached out via phone at 678-838-3903 and via fax at 678-838-7454.

Location: 6130 Prestley Mill Rd Ste C, Douglasville, GA, 30134-2288
institution
Provider Profile Details
NPI Number
1821163577
Provider Name
Ear, Nose & Throat Plastic Surgery Center
Credential
Provider Entity Type
Organization
Address
6130 Prestley Mill Rd Ste C, Douglasville, GA, 30134-2288
Phone Number
678-838-3903
Fax Number
678-838-7454
Provider Enumeration Date
11/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CH6392 01 GA RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
6130 Prestley Mill Rd Ste C
City
State
Zip
30134-2288
Phone Number
678-838-3903
Fax Number
678-838-7454
person
Provider Business Mailing Address Details
Address
6130 Prestley Mill Rd Ste C
City
State
Zip
30134-2288
Phone Number
678-838-3903
Fax Number
678-838-7454
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otolaryngology/Facial Plastic Surgery
Taxonomy
License No.
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Definition
An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
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