Organization
CANTON EAR NOSE AND THROAT CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA EDWARDS (OFFICE MANAGER)
(770) 924-1915
Entity
Organization
Contact information
Practice address
8294 HIGHWAY 92, SUITE 110, WOODSTOCK, GA 30189-3672
(770) 924-1915
(770) 516-9629
Mailing address
8294 HIGHWAY 92, SUITE 110, WOODSTOCK, GA 30189-3672
(770) 924-1915
(770) 516-9629
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
026511
GA
Other
Enumeration date
03/13/2007
Last updated
06/03/2008
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