ADVANCED EAR NOSE AND THROAT ASSOCIATES PC
Medical Practice at Johnson Ferry Rd, Atlanta, GA

License number
Georgia 657566
Category
Medical Practice
Type
Otolaryngology
Owner
Name: KELLY LADD
Title: PRACTICE MANAGER
Phone: (404) 943-0900
Address
Address
960 Johnson Ferry Rd NE SUITE 200, Atlanta, GA 30342
National Provider ID: 1073655882
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about ADVANCED EAR NOSE AND THROAT ASSOCIATES PC at bizstanding.com

ADVANCED EAR, NOSE AND THROAT ASSOCIATES, PC

960 Johnson Fry Rd NE STE 20, Atlanta, GA 30342

Registration:
Feb 6, 2001
State ID:
0106708
Business type:
Domestic Professional Corporation
Secretarys:
Andrew Golde (CEO), 960 Johnson Fry Rd STE 200, Atlanta, GA 30342 (Physical),Sam Mickelson (CFO), 960 Johnson Fry Rd STE 200, Atlanta, GA 30342 (Physical),Aaron Gamwell Rogers (Secretary), 960 Johnson Fry Rd STE 200, Atlanta, GA 30342 (Physical)
Agent:
Samuel Mickelson,960 Johnson Fry Rd, Atlanta, GA (Physical)

Medical Practice licenses in Georgia










Other Doctors licenses in Georgia