# ENT OF ATHENS, LLC

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

## Provider details

- **NPI number:** 1598822280
- **Authorized official:** MRS. AMY ELLIS (INSURANCE CLERK)
- **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) 546-0918
- **Mailing address:** 150 NACOOCHEE AVE, ATHENS, GA 30601-1823
- **Mailing address phone:** (706) 546-7908
- **Mailing address fax:** (706) 546-0918

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | 12368 | GA | Yes |

## Other

- **Enumeration date:** 01/02/2007
- **Last updated:** 06/18/2012