| NPI | 1841281391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA JEAN ELLIOTT Practicie Manager 770-474-7416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: GA 039722) |
| Additional Taxonomies | 207YX0901X Otolaryngology, Otology & Neurotology (Licence: GA 046956) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2011-11-14 |