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PIEDMONT EAR NOSE &THROAT ASSOCIATES PC NPI 1245305879


NPI Information

NPI: 1245305879
Provider Name: PIEDMONT EAR NOSE &THROAT ASSOCIATES PC
Classification: Otolaryngology - 207YX0905X
Entity Type: Organization

Specialization: Otolaryngology/Facial Plastic Surgery

CLIA Number: 11D1100174

Address:
1720 PEACHTREE STREET
SUITE 200
ATLANTA, GA
ZIP 30309
Phone: (404) 351-5045
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PIEDMONT EAR NOSE &THROAT ASSOCIATES PC is an otolaryngology/facial plastic surgery otolaryngology in Atlanta, GA. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. PIEDMONT EAR NOSE &THROAT ASSOCIATES PC NPI is 1245305879. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1720 PEACHTREE STREET
SUITE 200
ATLANTA, GA
ZIP 30309-605
Phone: (404) 351-5045
Fax: (404) 897-7078

The provider's authorized official is Annette M Roberts .
The authorized official title is Billing Manager and has the following contact phone number (404) 351-5045.

The CLIA number assigned to this NPI record is 11D1100174 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 3/16/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GRP861MEDICARE ID-TYPE UNSPECIFIEDGEORGIAMEDICARE GROUP ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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