Ent Associates Of Atlanta | |
1136 Cleveland Avenue Eastpoint GA 30344 | |
(404) 768-9350 | |
Not Available |
Full Name | Ent Associates Of Atlanta |
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Speciality | Clinic/center |
Location | 1136 Cleveland Avenue, Eastpoint, Georgia |
Authorized Official Name and Position | James Fortson (MD) |
Authorized Official Contact | 4047689350 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Ent Associates Of Atlanta 1136 Cleveland Ave Atlanta GA 30344-3618 Ph: () - | Ent Associates Of Atlanta 1136 Cleveland Avenue Eastpoint GA 30344 Ph: (404) 768-9350 |
NPI Number | 1003289786 |
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Provider Enumeration Date | 11/04/2015 |
Last Update Date | 11/04/2015 |
Identifier | Type | State | Issuer |
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1003289786 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | AG0915134 (Georgia) | Primary |