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Organization

ENT ASSOCIATES OF SOUTH WEST GA

Active
Parent organization
ENT ASSOCIATES OF SOUTH WEST GA
Organization subpart
Yes

Provider details

NPI number
Legal business name
ENT ASSOCIATES OF SOUTH WEST GA
Authorized official
DR. BRIAN J SZWARC M.D. (PRESIDENT/PHYSICIAN)
(229) 226-1443
Entity
Organization

Contact information

Practice address
301 W HANSELL ST, 3RD FLOOR, THOMASVILLE, GA 31792-6649
(229) 226-1443
(229) 226-3035
Mailing address
301 W HANSELL ST, THOMASVILLE, GA 31792-6649
(229) 226-1443
(229) 226-3035

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
044119
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00755939B
GA
Enumeration date
01/23/2008
Last updated
04/24/2013
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