An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures...
GA license #040364taxonomy 207Y00000X
Identifiers
Type
Value
Notes
05 (GA)
00681227M
01 (GA)
196754
BCBS PROVIDER NUMBER
05 (GA)
000681227K
01 (GA)
040015437
MEDICARE RAILROAD ID NO
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Sleep and Sinus Centers of Georgia
Type code 3recorded 2019-01-08
Sleep and Sinus Centers of Georgia
Type code 3recorded 2013-12-03
Practice context
Multi-provider organization.
2 individual providers on file at this primary address.
Plus 1 secondary practice location.
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