Organization
ENT OF ATLANTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE PABLO STOLOVITZKY MD (PHYSICIAN/CEO)
(770) 220-8400
Entity
Organization
Contact information
Practice address
4380 GEORGETOWN SQ, STE 1002, ATLANTA, GA 30338-6254
(770) 220-8400
(770) 234-9979
Mailing address
4380 GEORGETOWN SQ, STE 1002, ATLANTA, GA 30338-6254
(770) 220-8400
(770) 234-9979
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/23/2008
Last updated
06/23/2008
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