NPI 1912875402

Mixed Medical Media

Organisation Otolaryngology Physician Stockbridge, GA

Practice location

Address: 1106 Hospital Dr, Stockbridge, GA 30281
Phone: (678) 902-9495
Fax: (678) 815-1548

Authorised official

Name: Aaron Fletcher
Title: Owner
Phone: (678) 902-9495

Registered specialties

Otolaryngology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Y00000X

Other Otolaryngology providers in Georgia →

Registry record

NPI: 1912875402
Entity type: Organization
NPI issued: 27 Oct 2025
Record last updated: 27 Oct 2025

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.