Carrollton Ear, Nose And Throat, P.C.
Otolaryngology in Carrollton, GA. Organization (NPI-2).
NPI number1760410401
StatusActive
Last updated in NPPESJul 18, 2022
Details
- NPI
- 1760410401
- Entity type
- Organization (NPI-2)
- Legal business name
- Carrollton Ear, Nose And Throat, P.C.
- Organization subpart
- No
- Enumeration date
- Jun 29, 2006
- Certification date
- Jul 18, 2022
- Last updated
- Jul 18, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Y00000X | Otolaryngology | – | – | Yes |
Other names
- Carrollton Ear, Nose And Throat (Other Name)
Practice location
150 Clinic AveSuite 201
Carrollton, GA 30117-4401
Phone 770-832-1488
Mailing address
150 Clinic AveSuite 201
Carrollton, GA 30117-4401
Phone 770-832-1488
Authorized official
Vicki Williamson
Administrator
7708321488
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Otolaryngology Physician providers in Carrollton, GA
- Thomas Comstock, M.D.NPI 1164576534
- William Bradley Gambrell, M.D.NPI 1013056985
- L Mark Gustafson, M.D.NPI 1073555629
- Christopher W. Harper, MDNPI 1407201486
- John C Pezold, M.D.NPI 1245272806
All 6 Otolaryngology Physician providers in Carrollton · All 1,319 providers in Carrollton
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