Atlanta Institute For Ent

NPI 1063600914 - Otolaryngology - 207YS0123X

NPI Details
NPI 1063600914
Enumeration Date 10/04/2007
Last Updated 11/29/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name PRADEEP K. PRADEEP
Position MANAGER
Phone (404) 257-1589
Fax (404) 305-1950
Practice Location
5745 CLARION ST STE B62
CUMMING GA, 30040-0305, US
Phone (404) 257-1589
Fax (404) 305-1950
Business Location
5745 CLARION ST STE B62
CUMMING GA, 30040-0305, US
Phone (404) 257-1589
Fax (404) 303-1950
Toxanomy
Taxonomy Code 207YS0123X
License State Georgia
License Number 044104
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According to our database, Atlanta Institute For Ent NPI is 1063600914, taxonomy code is 207YS0123X and license number is 044104, license state is located at Georgia. Atlanta Institute For Ent physically located at 5745 Clarion St Ste B62, Cumming GA, 30040-0305. NPI Number 1033115704 has the healthcare provider type.

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1063600914 NPI number is provided on an as is basis without warranty of any kind. 1063600914 is maintained by the National Plan & Provider Enumeration System. The contents of Atlanta Institute For Ent are for informational purposes only.