| Ent Associates Of Atlanta | |
|
1136 Cleveland Avenue Eastpoint GA 30344 | |
| (404) 768-9350 | |
| Not Available |
| Full Name | Ent Associates Of Atlanta |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 11/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003289786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | AG0915134 (Georgia) | Primary |