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Organization

EAR, NOSE & THROAT ASSOCIATES, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY R GRINER MD (PREDISENT)
(770) 985-6233
Entity
Organization

Contact information

Practice address
1700 TREE LN, SUITE 320, SNELLVILLE, GA 30078-6782
(770) 985-6233
(770) 985-6864
Mailing address
1700 TREE LANE ROAD, SUITE 320, SNELLVILLE, GA 30078
(770) 985-6233
(770) 985-6864

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
030076
GA

Other

Enumeration date
02/02/2007
Last updated
11/26/2007
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