Organization
WELLSTAR
Active
Other names
ENT Associates of North Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA ANN RATLIFF AU.D. (AUDIOLOGIST)
(770) 793-7414
Entity
Organization
Contact information
Practice address
320 KENNESTONE HOSPITAL BLVD, SUITE 107, MARIETTA, GA 30060-1161
(770) 793-7417
Mailing address
320 KENNESTONE HOSPITAL BLVD, SUITE 107, MARIETTA, GA 30060-1161
(770) 793-7417
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003861
GA
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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