National Provider Identifier Database

MIXED MEDICAL MEDIA
Otolaryngology

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.


Contact Information

MIXED MEDICAL MEDIA
1106 HOSPITAL DR
STOCKBRIDGE, GA30281
Phone: 678-902-9495
Fax: 678-815-1548
Website:
Specialty Taxonomy Code
* Otolaryngology 207Y00000X

* Indicates primary specialty

NPI Profile & details for MIXED MEDICAL MEDIA

NPI Number 1912875402
Legal business name
LBN
MIXED MEDICAL MEDIA
Authorized official AARON FLETCHER - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/27/2025
Last updated 10/27/2025 - About 7 months ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 003151504E

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.

Reviews for MIXED MEDICAL MEDIA

There are currently no reviews for MIXED MEDICAL MEDIA


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