Organization
DALTON EAR NOSE & THROAT ASSOCIATES
Active
Parent organization
DALTON EAR NOSE & THROAT ASSOCIATES
Other names
Northwest Georgia ENT Surgery Center, Filter... Northwest Georgia ENT Surgery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
DALTON EAR NOSE & THROAT ASSOCIATES
Authorized official
MR. DAVID L TRAMMELL RN (ASC DIRECTOR)
(706) 226-2142
Entity
Organization
Contact information
Practice address
1436 CHATTANOOGA AVE, DALTON, GA 30720-2637
(706) 226-2142
(706) 272-3997
Mailing address
1436 CHATTANOOGA AVE, DALTON, GA 30720-2637
(706) 226-2142
(706) 272-3997
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
DHR 20020475
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000970802A
—
GA
01
—
055000432A
DHR LICENSE #
GA
01
—
11-C0001207
DHR ASC ID NUMBER
GA
Enumeration date
05/17/2006
Last updated
04/04/2023
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