Oglethorpe Ear, Nose & Throat, LLC
Otolaryngology in Lexington, GA. Organization (NPI-2).
NPI number1164076600
StatusActive
Last updated in NPPESJun 8, 2022
Details
- NPI
- 1164076600
- Entity type
- Organization (NPI-2)
- Legal business name
- Oglethorpe Ear, Nose & Throat, LLC
- Organization subpart
- No
- Enumeration date
- Aug 1, 2019
- Certification date
- Jun 8, 2022
- Last updated
- Jun 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | – | – | Yes |
Practice location
219 West Boggs StreetLexington, GA 30648
Phone 706-743-0006 · Fax 706-740-6073
Mailing address
219 W Boggs StLexington, GA 30648-2321
Phone 706-743-0006 · Fax 706-740-6073
Authorized official
Matt Pitts
Administrator
7067430006
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