| NPI | 1245385806 | 
|---|---|
| Doing Business As | ENT OF SOUTH ATLANTA | 
| Entity Type | Organization | 
| Authorized Contact | PIA M BERKS Billing Manager 770-378-2449  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 043205)  | 
| Enumeration Date | 2007-01-24 | 
| Last Update Date | 2013-01-03 |