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NPI Profile for MIXED MEDICAL MEDIA in STOCKBRIDGE, GA.
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Otolaryngology |
207Y00000X | 04 | Physician/Otolaryngology |
| NPI Number | 1912875402 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/27/2025 | |
| Last updated | 10/27/2025 - About 7 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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| Hospital affiliation(s) | Not Available |
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MIXED MEDICAL MEDIA
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MIXED MEDICAL MEDIA