NPI 1841281391

Southern Crescent Ent, P.C.

Organisation Otolaryngology Physician Stockbridge, GA

Practice location

Address: 1101 Hospital Dr Suite 100a, Stockbridge, GA 30281-9075
Phone: (770) 474-7416
Fax: (770) 389-6210

Authorised official

Name: Melissa Jean Elliott
Title: Practicie Manager
Phone: (770) 474-7416

Registered specialties (2)

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X Licence 039722 (GA)

Other Otolaryngology providers in Georgia →

Otology & Neurotology Physician

Allopathic & Osteopathic Physicians Taxonomy 207YX0901X Licence 046956 (GA)

Registry record

NPI: 1841281391
Entity type: Organization
NPI issued: 3 Nov 2005
Record last updated: 14 Nov 2011

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.