Northwest Ent Associates, Pc

LBN: Northwest Ent Associates, Pc
Northwest Ent Associates, Pc is an health care organization with primary practice located at 80 Lacy St Nw , Marietta GA 30060. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is the primary health care specialty. Northwest Ent Associates, Pc can be contacted via phone (770) 427-0368, or through Egea, Carlos M. via phone (770) 427-0368.

Contact Information

Primary practice address
80 Lacy St Nw Marietta GA 30060
Phone: (770) 427-0368
Fax: (678) 581-5969
Website:
Map and Directions
Authorized official contact:
Name: Egea, Carlos M.
Phone: (770) 427-0368

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 36884 Georgia
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 31970 Georgia
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 041239 Georgia
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X

Profile Details

NPI number 1821176967
LBN Legal business name Northwest Ent Associates, Pc
DBA Doing business as
Authorized official Egea, Carlos M.
Entity Organization
Organization subpart 1 No
Enumeration date Nov 2nd, 2006
Last updated Sep 28th, 2012 - about 12 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 1821176967 NPPES
Georgia MEDICAID 00403851E
Georgia MEDICAID 10041532
Georgia MEDICAID 00868524B
Georgia MEDICAID 00553385C
Georgia MEDICAID 303310
Georgia MEDICAID 310744
Georgia MEDICAID 310745
Georgia MEDICAID 582064647

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