Northside Ear, Nose & Throat, PC

NPI #1013071273 in Roswell, Georgia

Provider Information

NPI Number: 1013071273
Entity Type: Organization
Organization Name: Northside Ear, Nose & Throat, PC
Primary Specialty: Otolaryngology
Enumeration Date: Dec 21, 2006
Last Updated: Sep 11, 2008

Practice Location

Address: 1360 UPPER HEMBREE RD
Address 2: 201
City: Roswell
State: Georgia
ZIP Code: 30076-1171
Phone: (770) 475-3361

Authorized Official

Name: ANDREW J DIAMOND, MD
Title: PRESIDENT
Phone: (770) 475-3361

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Allergy & Immunology	207K00000X
Otolaryngology - Plastic Surgery within the Head & Neck — Plastic Surgery within the Head & Neck	207YX0007X
Otolaryngology	207Y00000X	Primary

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