# PEDIATRIC EAR, NOSE, & THROAT OF ATLANTA, PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1134380017
- **Authorized official:** JAMES R THOMSEN M.D. (PARTNER/PHYSICIAN)
- **Authorized official phone:** (404) 255-2033

## Contact information

- **Practice address:** 5461 MERIDIAN MARK ROAD SUITE 130, ATLANTA, GA 30342
- **Practice address phone:** (404) 255-2033
- **Practice address fax:** (404) 252-1901
- **Mailing address:** 5461 MERIDIAN MARK ROAD SUITE 130, ATLANTA, GA 30342-1654
- **Mailing address phone:** (404) 255-2033
- **Mailing address fax:** (404) 252-1901

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YP0228X | Pediatric Otolaryngology Physician | — | NULL | Yes |
| 207YP0228X | Pediatric Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 05/25/2018