| NPI | 1972523215 |
|---|---|
| Doing Business As | VILLA RICA EAR NOSE & THROAT |
| Entity Type | Organization |
| Authorized Contact | VICKIE L TANNER Office Manager 770-459-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2015-09-01 |