Organization
NORTHEAST ATLANTA EAR NOSE & THROAT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NINA FISCHBACH (CEO)
(770) 939-9614
Entity
Organization
Contact information
Practice address
3915 JOHNS CREEK COURT, SUITE 100, SUWANEE, GA 30024
(770) 237-3000
(678) 992-2536
Mailing address
3915 JOHNS CREEK COURT, SUITE 100, SUWANEE, GA 30024
(770) 623-1608
(678) 992-2540
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055001197A
—
GA
Enumeration date
08/31/2006
Last updated
04/26/2022
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