| NPI | 1780737445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS MATTOX Chairman Of Department Of Otolaryng 404-778-5329 |
| Organization Subpart ? | No |
| Primary Taxonomy | 231H00000X Audiologist (Licence: GA AUD003726) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-08-22 |