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ENT SURGERY CENTER OF ATLANTALLC NPI 1750491205


NPI Information

NPI: 1750491205
Provider Name: ENT SURGERY CENTER OF ATLANTA,LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 11D1035551

Address:
5673 PEACHTREE DUNWOODY RD NE
SUITE 945
ATLANTA, GA
ZIP 30342
Phone: (404) 297-1334
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ENT SURGERY CENTER OF ATLANTA,LLC is an ambulatory surgical clinic center in Atlanta, GA. ENT SURGERY CENTER OF ATLANTA,LLC NPI is 1750491205. The provider is registered as an organization entity type.

The provider's business location address is:

5673 PEACHTREE DUNWOODY RD NE
SUITE 945
ATLANTA, GA
ZIP 30342-731
Phone: (404) 297-1334
Fax: (404) 943-9691

The provider's authorized official is Deborah Kay Smith .
The authorized official title is Administrator and has the following contact phone number (404) 297-1334.

The CLIA number assigned to this NPI record is 11D1035551 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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