Organization
MIDDLE GEORGIA EAR NOSE & THROAT SURGERY CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK LOCKHART M.D. (OWNER)
(478) 452-6610
Entity
Organization
Contact information
Practice address
111 FIELDSTONE DR, SUITE 102, MILLEDGEVILLE, GA 31061-7106
(478) 452-6610
(478) 453-0745
Mailing address
111 FIELDSTONE DR, SUITE 102, MILLEDGEVILLE, GA 31061-7106
(478) 452-6610
(478) 453-0745
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
035287
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00494755A
—
GA
Enumeration date
06/18/2008
Last updated
01/25/2010
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