Organization
NORTHWEST GEORGIA E.N.T. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY EUGENE GOFF M.D. (PRESIDENT)
(770) 606-8900
Entity
Organization
Contact information
Practice address
962 JOE FRANK HARRIS PKWY SE, SUITE 202, CARTERSVILLE, GA 30120-2154
(770) 606-8900
(770) 606-9002
Mailing address
962 JOE FRANK HARRIS PKWY SE, SUITE 202, CARTERSVILLE, GA 30120-2154
(770) 606-8900
(770) 606-9002
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
43944
GA
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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