NPI 1013071273

Northside Ear, Nose & Throat, PC

Organisation Otolaryngology Physician Roswell, GA

Practice location

Address: 1360 Upper Hembree Rd 201, Roswell, GA 30076-1171
Phone: (770) 475-3361
Fax: (770) 664-4431
Mailing address: PO Box 933087, Atlanta, GA 31193-3087

Authorised official

Name: Andrew J Diamond
Title: President
Phone: (770) 475-3361

Registered specialties (3)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 036368 (GA)

Other Otolaryngology providers in Georgia →

Allergy & Immunology Physician

Allopathic & Osteopathic Physicians Taxonomy 207K00000X Licence 059383 (GA)

Other Allergy & Immunology providers in Georgia →

Plastic Surgery within the Head & Neck (Otolaryngology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207YX0007X Licence 57545 (GA)

Registry record

NPI: 1013071273
Entity type: Organization
NPI issued: 21 Dec 2006
Record last updated: 11 Sep 2008

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.