NORTHSIDE EAR, NOSE & THROAT, PC

ROSWELL, GA
NPI1013071273
Entity TypeOrganization
Authorized ContactANDREW J DIAMOND
President
770-475-3361
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: GA  036368)
Additional Taxonomies207K00000X Allergy & Immunology
(Licence: GA  059383)
207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck
(Licence: GA  57545)
Enumeration Date2006-12-21
Last Update Date2008-09-11
Business Address
NORTHSIDE EAR, NOSE & THROAT, PC
1360 UPPER HEMBREE RD 201
ROSWELL, GA 30076-1171
Phone number: 770-475-3361
Mailing Address
NORTHSIDE EAR, NOSE & THROAT, PC
PO BOX 933087
ATLANTA, GA 31193-3087
Phone number: 770-475-3361