Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ear, Nose & Throat Plastic Surgery Center

Organization Otolaryngology/Facial Plastic Surgery Physician · NPI 1821163577

Ear, Nose & Throat Plastic Surgery Center is an Otolaryngology/Facial Plastic Surgery Physician in Douglasville, Georgia. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

6130 Prestley Mill Rd Ste C
Douglasville, GA 30134-2288
Phone: (678) 838-3903
Fax: (678) 838-7454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology/Facial Plastic Surgery Physician (primary) Taxonomy 207YX0905X

Record details

NPI number1821163577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Neil Persaud — Owner · (678) 838-3903
NPI enumeratedNovember 21, 2006
Last updated in NPPESAugust 22, 2020
Mailing address6130 Prestley Mill Rd Ste C, Douglasville, GA 30134-2288

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