NPI age
10 years
Enumerated 2016-05-05
Across 450 active otolaryngology providers in Georgia.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003151504E | |
| 01 (GA) | 202I047197 | MEDICARE PTAN |
| 05 (GA) | 0035151504B |
Doing-business-as, former, and alternate names recorded by NPPES.
Multi-provider organization. 1 individual provider on file at this primary address.
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