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Organization
GEORGIA NORTHSIDE EAR, NOSE AND THROAT, LLC
Active
Organization
GEORGIA NORTHSIDE EAR, NOSE AND THROAT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WESLEY O. JAMES (REGIONAL CFO, TENET)
(404) 265-5009
Entity
Organization
Contact information
Practice address
1360 UPPER HEMBREE RD, SUITE 201, ROSWELL, GA 30076-1171
(770) 475-3361
(770) 664-4431
Mailing address
PO BOX 742566, ATLANTA, GA 30374-2105
(770) 475-3361
(770) 664-4431
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
—
—
Other
Enumeration date
06/06/2013
Last updated
06/07/2016
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