EAR NOSE & THROAT PLASTIC SURGERY CENTER NPI 1821163577

NPI Information

EAR, NOSE & THROAT PLASTIC SURGERY CENTER is an otolaryngology/facial plastic surgery otolaryngology in Douglasville, GA. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. EAR, NOSE & THROAT PLASTIC SURGERY CENTER NPI is 1821163577. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6130 PRESTLEY MILL RD STE C
DOUGLASVILLE, GA
ZIP 30134-288
Phone: (678) 838-3903
Fax: (678) 838-7454

The provider's authorized official is Neil Anthony Persaud .
The authorized official title is Owner and has the following contact phone number (678) 838-3903.

The enumeration date for this NPI number is 11/21/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.