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Contact Information

ENT OF ATHENS, LLC
150 NACOOCHEE AVE
ATHENS, GA30601-1823
 Phone: 706-546-7908
 Fax: 706-546-1944
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ENT OF ATHENS LLC · (Female)

NPI Number 1063746709
Status Active
Credentials
Entity Individual
Enumeration date 09/29/2009
Last updated 06/07/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA License # 052997
  • GA Medicaid 446447978B
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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