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Southern Crescent Ent, P.c.
Otology & Neurotology Physician in Stockbridge, Georgia
NPI 1841281391

Southern Crescent Ent, P.c. is a Otology & Neurotology Physician based in Stockbridge, GA and is specialized in Otology & Neurotology. Southern Crescent Ent, P.c. practices in Stockbridge, GA. The NPI Number for Southern Crescent Ent, P.c. is 1841281391 and holds a License No. 039722 (Georgia).

The current practice location address for Southern Crescent Ent, P.c. is 1101 Hospital Dr, Stockbridge, GA and can be reached out via phone at 770-474-7416 and via fax at 770-389-6210.

Location: 1101 Hospital Dr, Stockbridge, GA, 30281-9075
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1841281391
Provider Name
Southern Crescent Ent, P.c.
Credential
Provider Entity Type
Organization
Address
1101 Hospital Dr, Stockbridge, GA, 30281-9075
Phone Number
770-474-7416
Fax Number
770-389-6210
Provider Enumeration Date
11/03/2005
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00677553A 05 GA
institution
Provider Business Practice Location Address Details
Address
1101 Hospital Dr
City
Stockbridge
State
Georgia
Zip
30281-9075
Phone Number
770-474-7416
Fax Number
770-389-6210
person
Provider Business Mailing Address Details
Address
1101 Hospital Dr
City
Stockbridge
State
Georgia
Zip
30281-9075
Phone Number
770-474-7416
Fax Number
770-389-6210
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
-
Taxonomy
207Y00000X
License No.
046956 (Georgia)
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Otolaryngology
Speciality
Otology & Neurotology
Taxonomy
207YX0901X
License No.
039722 (Georgia)
Definition
An otolaryngologist who treats diseases of the ear and temporal bone, including disorders of hearing and balance. The additional training in otology and neurotology emphasizes the study of embryology, anatomy, physiology, epidemiology, pathophysiology, pathology, genetics, immunology, microbiology and the etiology of diseases of the ear and temporal bone.
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