Ent Of Athens, Llc

LBN: Ent Of Athens, Llc
Ent Of Athens, Llc is an health care organization with primary practice located at 150 Nacoochee Ave , Athens GA 30601-1823. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, which is considered as the primary health care specialty. Ent Of Athens, Llc can be contacted via phone (706) 546-7908, or through Ellis, Amy via phone (706) 546-7908.

Contact Information

Primary practice address
150 Nacoochee Ave Athens GA 30601-1823
Phone: (706) 546-7908
Fax: (706) 546-0918
Website:
Map and Directions
Authorized official contact:
Name: Ellis, Amy
Phone: (706) 546-7908

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 12368 Georgia

Profile Details

NPI number 1598822280
LBN Legal business name Ent Of Athens, Llc
DBA Doing business as
Authorized official Ellis, Amy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2007
Last updated Jun 18th, 2012 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598822280 NPPES
Georgia Other 581440304 INDIVIDUAL TAX ID
Georgia Other 581198425 INDIVIDUAL TAX ID
Georgia MEDICAID 000135902A INDIVIDUAL TAX ID
Georgia MEDICAID 000135924A INDIVIDUAL TAX ID

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