Organization
ENT OF GEORGIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELISABETH BROOKS (ADMINISTRATOR)
(404) 297-6105
Entity
Organization
Contact information
Practice address
5673 PEACHTREE DUNWOODY RD, SUITE 150, ATLANTA, GA 30342-1731
(404) 297-1780
(404) 252-7255
Mailing address
5673 PEACHTREE DUNWOODY RD, SUITE 150, ATLANTA, GA 30342-1731
(404) 297-1780
(404) 252-7255
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
06/04/2006
Last updated
12/26/2013
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