Organization
ENT OF CHEROKEE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY A SLAY (BILLING SPECIALIST)
(770) 720-0838
Entity
Organization
Contact information
Practice address
100 MEDICAL LN, SUITE 4, CANTON, GA 30114-2492
(770) 720-0838
Mailing address
100 MEDICAL LN, SUITE 4, CANTON, GA 30114-2492
(770) 720-0838
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
052632
GA
Other
Enumeration date
12/03/2007
Last updated
12/03/2007
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