# ENT OF ATHENS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063746709
- **Authorized official:** AMY ELLIS (BILLING MANAGER)
- **Authorized official phone:** (706) 546-7908

## Contact information

- **Practice address:** 150 NACOOCHEE AVE, ATHENS, GA 30601-1823
- **Practice address phone:** (706) 546-7908
- **Practice address fax:** (706) 546-1944
- **Mailing address:** 150 NACOOCHEE AVE, ATHENS, GA 30601-1823
- **Mailing address phone:** (706) 546-7908
- **Mailing address fax:** (706) 546-1944

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YS0012X | Sleep Medicine (Otolaryngology) Physician | 052997 | GA | Yes |

## Other

- **Enumeration date:** 09/29/2009
- **Last updated:** 06/07/2021