Healthcare Provider Details
I. General information
NPI: 1467385302
Provider Name (Legal Business Name): NORTH GEORGIA ENT
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/08/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
970 JOE FRANK HARRIS PKWY SE STE 330
CARTERSVILLE GA
30120-2162
US
IV. Provider business mailing address
970 JOE FRANK HARRIS PKWY SE STE 330
CARTERSVILLE GA
30120-2162
US
V. Phone/Fax
- Phone: 770-217-6224
- Fax: 706-216-4830
- Phone: 770-217-6224
- Fax: 706-216-4830
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Y00000X |
| Taxonomy | Otolaryngology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HONIE
CONE
Title or Position: PRACTICE MANAGER
Credential:
Phone: 770-217-6224