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Piedmont Ear Nose &Throat Associates PC

Otolaryngology, Otolaryngology/Facial Plastic Surgery in Atlanta, GA. Organization (NPI-2).

NPI number1245305879
StatusActive
Last updated in NPPESDec 16, 2024

Details

NPI
1245305879
Entity type
Organization (NPI-2)
Legal business name
Piedmont Ear Nose &Throat Associates PC
Organization subpart
No
Enumeration date
Nov 21, 2006
Certification date
Dec 16, 2024
Last updated
Dec 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery––Yes

Practice location

1720 Peachtree Street
Suite 200
Atlanta, GA 30309-1605

Phone 404-351-5045 · Fax 404-351-0883

Mailing address

1720 Peachtree Street
Suite 200
Atlanta, GA 30309-1605

Phone 404-351-5045 · Fax 404-351-0883

Authorized official

Tatiana Sycheva-Johnson
Billing Manager
4705636468

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