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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

NPI Number 1063746709
LBN Legal business name ENT OF ATHENS, LLC
Authorized official AMY ELLIS - (BILLING MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/29/2009
Last updated 06/07/2021 - About 5 years ago
Identifiers
GA License # 052997
GA Medicaid 446447978B
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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