Organization · NPI-2

Advanced Ear Nose And Throat Associates PC

Otolaryngology · Atlanta, GA

NPI number1073655882
StatusActive
Last updated in NPPESJan 14, 2013

Details

NPI
1073655882
Entity type
Organization (NPI-2)
Legal business name
Advanced Ear Nose And Throat Associates PC
Organization subpart
No
Enumeration date
Feb 12, 2007
Last updated
Jan 14, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Y00000X Otolaryngology657566GAYes

Practice location

960 Johnson Ferry Rd Ne
Suite 200
Atlanta, GA 30342-1631

Phone 404-943-0900 · Fax 404-943-1390

Mailing address

960 Johnson Ferry Rd Ne
Suite 200
Atlanta, GA 30342-1631

Phone 404-943-0900 · Fax 404-943-1390

Authorized official

Kelly Ladd
Practice Manager
4049430900

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