Organization · Type 2 NPI
Ear, Nose and Throat Clinic of Coffee Co.
Specialist · Douglas, GA
NPI number
1891750774
Active
Practice location
312 Westside Drive
Douglas, GA 31533-0312
Fax (912) 383-7992
Mailing address
P.o. Box 1068
Douglas, GA 31533-1068
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 041953 (GA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
About NPI 1891750774
Ear, Nose and Throat Clinic of Coffee Co.'s National Provider Identifier is 1891750774, issued on Apr 20, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Douglas, GA. The record was last updated on Feb 4, 2010.