Organization
CHATTAHOOCHEE HEALTHCARE LLC
Active
Other names
Villa Rica Ear Nose & Throat
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE L TANNER (OFFICE MANAGER)
(770) 459-0408
Entity
Organization
Contact information
Practice address
705 DALLAS HWY, SUITE 301, VILLA RICA, GA 30180-1247
(770) 459-0408
(770) 459-1575
Mailing address
705 DALLAS HWY, SUITE 301, VILLA RICA, GA 30180-1247
(770) 459-0408
(770) 459-1575
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
07/20/2006
Last updated
09/01/2015
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