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Ear, Nose And Throat Clinic Of Coffee Co.
Specialist in Douglas, Georgia
NPI 1891750774

Ear, Nose And Throat Clinic Of Coffee Co. is a Specialist based in Douglas, GA. Ear, Nose And Throat Clinic Of Coffee Co. practices in Douglas, GA. The NPI Number for Ear, Nose And Throat Clinic Of Coffee Co. is 1891750774 and holds a License No. 041953 (Georgia).

The current practice location address for Ear, Nose And Throat Clinic Of Coffee Co. is 312 Westside Drive, Douglas, GA and can be reached out via phone at 912-384-2200 and via fax at 912-383-7992.

Location: 312 Westside Drive, Douglas, GA, 31533-1068
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891750774
Provider Name
Ear, Nose And Throat Clinic Of Coffee Co.
Credential
Provider Entity Type
Organization
Address
312 Westside Drive, Douglas, GA, 31533-1068
Phone Number
912-384-2200
Fax Number
912-383-7992
Provider Enumeration Date
04/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DE8251 01 GA MEDICARE RAILROAD GROUP ID
990001864 01 GA MEDICARE RAILROAD
300032501A 05 GA
institution
Provider Business Practice Location Address Details
Address
312 Westside Drive
City
Douglas
State
Georgia
Zip
31533-0312
Phone Number
912-384-2200
Fax Number
912-383-7992
person
Provider Business Mailing Address Details
Address
312 Westside Drive
City
Douglas
State
Georgia
Zip
31533-0312
Phone Number
912-384-2200
Fax Number
912-383-7992
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
041953 (Georgia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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