Organization · Type 2 NPI
Ear, Nose & Throat Plastic Surgery Center
Otolaryngology/Facial Plastic Surgery Physician · Douglasville, GA
NPI number
1821163577
Active
Practice location
6130 Prestley Mill Rd Ste C
Douglasville, GA 30134-2288
Fax (678) 838-7454
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Otolaryngology/Facial Plastic Surgery Physician Primary | 207YX0905X | None listed |
Otolaryngology/Facial Plastic Surgery Physician: An otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions.
5 other providers at this address
- Andrew Paul Barak, DOOtolaryngology Physician Douglasville, GA NPI 1508824152
- Jahmal A. Hairston, MDOtolaryngology Physician Douglasville, GA NPI 1922187871
- Neil A. Persaud, D.OOtolaryngology/Facial Plastic Surgery Physician Douglasville, GA NPI 1356428700
- Rachel Sohnen, NPNurse Practitioner Douglasville, GA NPI 1316690274
- Raymond Edouard, FNP-CAdult Health Nurse Practitioner Douglasville, GA NPI 1427509165
About NPI 1821163577
Ear, Nose & Throat Plastic Surgery Center's National Provider Identifier is 1821163577, issued on Nov 21, 2006. The primary taxonomy on file is Otolaryngology/Facial Plastic Surgery Physician (207YX0905X), and the practice location is in Douglasville, GA. The record was last updated on Aug 22, 2020.