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Organization
ENT SURGICAL ASSOCIATES OF CENTRAL GA, PC
Active
Organization
ENT SURGICAL ASSOCIATES OF CENTRAL GA, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALAIN DANIEL TOLAND D.O, (MEDICAL DIRECTOR)
(478) 923-0106
Entity
Organization
Contact information
Practice address
1719 RUSSELL PKWY, BLDG 300, STE 301, WARNER ROBINS, GA 31088-5763
(478) 923-0106
(478) 922-5211
Mailing address
1719 RUSSELL PKWY, BLDG 300, STE 301, WARNER ROBINS, GA 31088-5763
(478) 923-0106
(478) 922-5211
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
GA
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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