Organization
SOUTHERN OTOLOGIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM HENRY MORETZ JR. M.D. (PRESIDENT)
(706) 724-0668
Entity
Organization
Contact information
Practice address
818 SAINT SEBASTIAN WAY, SUITE 204, AUGUSTA, GA 30901-2651
(706) 724-0668
(706) 724-1124
Mailing address
818 SAINT SEBASTIAN WAY, SUITE 204, AUGUSTA, GA 30901-2651
(706) 724-0668
(706) 724-1124
Taxonomy
Speciality
Code
Description
License number
State
207YX0901X
Otology & Neurotology Physician
Primary
24465
GA
Other
Enumeration date
06/28/2006
Last updated
08/04/2008
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