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Contact Information

OSWALDO A HENRIQUEZ, MD
4441 ATLANTA RD SE STE 205
SMYRNA, GA30080-6442
 Phone: 770-801-5020
 Fax: 770-435-6722
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for OSWALDO A HENRIQUEZ · (Male)

NPI # 1689850810
Status Active
Credentials MD
Entity Individual
Enumeration date 01/17/2008
Last updated 09/06/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 002659
  • GA License # 70141
Hospital affiliation(s)
  • GRADY MEMORIAL HOSPITAL - (Acute Care)
    80 JESSE HILL, JR DRIVE SE
    ATLANTA, GA 30303
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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