NPI 1003289786

Ent Associates of Atlanta

Organisation Clinic/Center Eastpoint, GA

Practice location

Address: 1136 Cleveland Avenue, Eastpoint, GA 30344
Phone: (404) 768-9350
Mailing address: 1136 Cleveland Ave, Atlanta, GA 30344-3618

Authorised official

Name: James Fortson
Title: MD
Phone: (404) 768-9350

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence AG0915134 (GA)

Other Clinic/Center providers in Georgia →

Registry record

NPI: 1003289786
Entity type: Organization
NPI issued: 4 Nov 2015
Record last updated: 4 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.