NORTHWEST ENT SURGERY CENTER, LLC is an ambulatory surgical clinic center in Woodstock, GA. NORTHWEST ENT SURGERY CENTER, LLC NPI is 1982978466. The provider is registered as an organization entity type.
The provider's business location address is:
960 WOODSTOCK PKWY
SUITE 101
WOODSTOCK, GA
ZIP 30188-866
Phone: (678) 483-8833
Fax: (678) 483-8809
The provider's authorized official is Carlos M Egea .
The authorized official title is Administrator and has the following contact phone number (770) 427-0368.
The CLIA number assigned to this NPI record is 11D2180410 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/1/2012 and was last updated on 1/18/2013.