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Organization

ATLANTA KIDS ENT, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBORAH M BURTON MD (PRESIDENT)
(770) 953-1414
Entity
Organization

Contact information

Practice address
2550 WINDY HILL RD SE, SUITE 307, MARIETTA, GA 30067-8665
(770) 953-1414
(770) 953-9474
Mailing address
2550 WINDY HILL RD SE, SUITE 307, MARIETTA, GA 30067-8665
(770) 953-1414
(770) 953-9474

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
039297
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000644344C
GA
Enumeration date
03/07/2007
Last updated
02/24/2012
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