Individual provider · Type 1 NPI

David Macy Vidrine, MD

Otolaryngology Physician · Marietta, GA

NPI number 1447293121 Active

Practice location

80 Lacy St NW
Marietta, GA 30060-1112

Fax (678) 581-5969

Mailing address

PO Box 23781
New York, NY 10087-3781

Other practice locations

  • 1600 Lakeland Hills Blvd, Lakeland, FL 33805-3019 · (863) 680-7000

Specialties and licenses

TaxonomyCodeLicense
Pediatric Otolaryngology Physician 207YP0228X30117 (SC)
Otolaryngology Physician Primary 207Y00000X109818 (GA)
Pediatric Otolaryngology Physician 207YP0228X226983 (MA)
Otolaryngology Physician 207Y00000XME181268 (FL)

Otolaryngology Physician: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injurie…

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About NPI 1447293121

David Macy Vidrine, MD's National Provider Identifier is 1447293121, issued on Jun 13, 2006. The primary taxonomy on file is Otolaryngology Physician (207Y00000X), and the practice location is in Marietta, GA. The record was last updated on Jul 17, 2026.