# PIEDMONT EAR NOSE &THROAT ASSOCIATES PC

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

## Provider details

- **NPI number:** 1245305879
- **Authorized official:** MRS. TATIANA SYCHEVA-JOHNSON (BILLING MANAGER)
- **Authorized official phone:** (470) 563-6468

## Contact information

- **Practice address:** 1720 PEACHTREE STREET, SUITE 200, ATLANTA, GA 30309-1605
- **Practice address phone:** (404) 351-5045
- **Practice address fax:** (404) 351-0883
- **Mailing address:** 1720 PEACHTREE STREET, SUITE 200, ATLANTA, GA 30309-1605
- **Mailing address phone:** (404) 351-5045
- **Mailing address fax:** (404) 351-0883

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NULL | Yes |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 12/16/2024