Organization
NORTH ATLANTA EAR, NOSE & THROAT SURGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEREE MOON (PRACTICE ADMINISTRATOR)
(470) 297-1123
Entity
Organization
Contact information
Practice address
4150 DEPUTY BILL CANTRELL MEMORIAL RD, STE 160, CUMMING, GA 30040
(470) 297-0257
(770) 292-3046
Mailing address
4150 DEPUTY BILL CANTRELL MEMORIAL RD., SUITE 160, CUMMING, GA 30040
(470) 297-0257
(770) 292-3046
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
GA
Other
Enumeration date
08/23/2017
Last updated
05/19/2021
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