SOUTHERN ENT SPECIALISTS, LLC (NPI# 1780183103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780183103 |
Entity Type | Organization |
Organization Name | SOUTHERN ENT SPECIALISTS, LLC |
Practice Address |
460 Northside Cherokee Blvd Ste 410 Canton GA 30115-8016 |
Practice Telephone | 6787867430 |
Enumeration Date | 2018-02-12 |
Last Update Date | 2018-02-12 |
Authorized Official Name | JAMES FRENCH JR. (OWNER) |
Authorized Official Telephone | 6787867430 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Y00000X | Otolaryngology | Allopathic & Osteopathic Physicians |
Street Address |
460 NORTHSIDE CHEROKEE BLVD STE 410 |
City | CANTON |
State | GA |
Zip Code | 30115-8016 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790814051 | James Courtney French Jr. | Otolaryngology | 460 Northside Cherokee Blvd Ste 410, Canton, GA 30115 | 2007-03-05 |
1477014603 | Tayler Mauldin | Nurse Practitioner | 460 Northside Cherokee Blvd Ste 410, Canton, GA 30115-8023 | 2019-03-29 |
1184175655 | Katie Frisbee | Physician Assistant | 460 Northside Cherokee Blvd Ste 410, Canton, GA 30115-8023 | 2016-10-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497364806 | Amanda Arbogast | Speech-Language Pathologist | 610 Royal Crest Court, Canton, GA 30115 | 2020-07-31 |
1033754163 | Kelly Marie Shirley | Nurse Practitioner | 450 Northside Cherokee Blvd., Radiology Dept., Canton, GA 30115 | 2019-11-13 |
1700394319 | Jennifer Lynn Davenport | Nurse Practitioner | 684 Sixes Rd Ste 125, Holly Springs, GA 30115 | 2018-01-17 |
1851717961 | Wal-mart Stores East, Lp | Technician/Technologist | 2200 Holly Springs Pkey, Holly Springs, GA 30115 | 2014-03-13 |
1194148502 | Julia Bedingfield Reid | Pharmacist | 450 Northside Cherokee Blvd Ste T20, Canton, GA 30115 | 2014-01-22 |
1447597992 | America's Best Contacts & Eyeglasses | Technician/Technologist | 2030 Cumming Highway, Suite 106, Canton, GA 30115 | 2013-01-03 |
1679821193 | Jill M Decorso | Speech-Language Pathologist | 4280 Hickory Flat Hwy, Ste 108, Canton, GA 30115 | 2012-08-15 |
1306113378 | Sidney Boyd Collier IIi | Pharmacist | 6111 Hickory Flat Highway, Canton, GA 30115 | 2011-11-18 |
1174804702 | Rayllensons Itacy | Physician Assistant | 2020 Cumming Highway, Suite 102, Canton, GA 30115 | 2011-09-09 |
1245534346 | Kim M. Mcmillan | Counselor | 154 Lakeside Drive, Canton, GA 30115 | 2011-01-04 |
Find all providers in zip 30115 |
Taxonomy Code | 207Y00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Otolaryngology |
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790814051 | James Courtney French Jr. | Otolaryngology | 460 Northside Cherokee Blvd Ste 410, Canton, GA 30115 | 2007-03-05 |
1710900626 | Kent Leroy Ramsey | Otolaryngology | 4912 Higbee Ave Nw, Ste 200, Canton, OH 44718 | 2006-07-25 |
1578586517 | Charles John Bogdan | Otolaryngology | 4912 Higbee Avenue Nw, Suite 200, Canton, OH 44718 | 2006-07-25 |
1992771216 | Fordyce Edward Stivers | Otolaryngology | 175 S Main St, Canton, IL 61520-2670 | 2006-02-27 |
1215281365 | River Oaks Management Company, LLC | Otolaryngology | 160 River Oaks Dr, Suite A, Canton, MS 39046-5376 | 2012-10-27 |
1578898110 | Joseph P. Yut, M.d., F.a.c.s., Inc. | Otolaryngology | 201 Dueber Ave Sw, Canton, OH 44706-1164 | 2009-10-15 |
1659468874 | Ohio Head and Neck Surgeons, Inc | Otolaryngology | 4912 Higbee Ave Nw, Suite 200, Canton, OH 44718-2530 | 2006-10-09 |
1225050248 | Steven Jay Ossakow | Otolaryngology | 4912 Higbee Avenue Nw, Suite 200, Canton, OH 44718 | 2006-07-25 |
1427071331 | Darrell Richard Smith | Otolaryngology | 4912 Higbee Ave Nw, Suite 200, Canton, OH 44718 | 2006-07-25 |
1184682296 | Joseph Peter Yut | Otolaryngology | 201 Dueber Ave Sw, Canton, OH 44706-1164 | 2006-05-01 |
Find all providers in CANTON |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.