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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NORTHWEST ENT ASSOCIATES, PC

Active Organization

NORTHWEST ENT ASSOCIATES, PC is a Facial Plastic Surgery organization located in MARIETTA, Georgia. NPI 1821176967 is currently active in the NPPES registry. Verify at CMS.

Facial Plastic Surgery · MARIETTA, GA

Registration Details

NPI Number
1821176967
Provider Type
Organization
NPI Issued
Nov 2, 2006 (19.791966282257 yrs)
Last Updated
Sep 28, 2012
Licenses
041239 (GA)
36884 (GA)
31970 (GA)

Practice Information

Address
80 LACY ST NW
MARIETTA, GA, 30060
Browse GA providers · Browse ZIP 30060
Phone
7704270368
Fax
6785815969
Primary Specialty
Facial Plastic Surgery
207YX0905X
Additional Specialty
Otolaryngology
Additional Specialty
Otolaryngology
Additional Specialty
Facial Plastic Surgery
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.