Individual
LANNY GARTH CLOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5670 PEACHTREE DUNWOODY RD STE 1280, ATLANTA, GA 30342
(404) 257-1589
(404) 303-1950
Mailing address
5670 PEACHTREE DUNWOODY RD STE 1280, ATLANTA, GA 30342-4792
(404) 257-1589
(404) 303-1950
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
079175
GA
207Y00000X
Otolaryngology Physician
198569
NY
Other
Enumeration date
03/01/2006
Last updated
10/11/2018
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