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

Northside Ear, Nose & Throat, PC

Organization Allergy & Immunology Physician · NPI 1013071273

Northside Ear, Nose & Throat, PC is an Allergy & Immunology Physician in Roswell, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1360 Uppr Hembree RD 201
Roswell, GA 30076-1171
Phone: (770) 475-3361
Fax: (770) 664-4431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 036368 (GA)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 059383 (GA)
Plastic Surgery within the Head & Neck (Otolaryngology) Physician Taxonomy 207YX0007X · Licence 57545 (GA)

Record details

NPI number1013071273
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Diamond — President · (770) 475-3361
NPI enumeratedDecember 21, 2006
Last updated in NPPESSeptember 11, 2008
Mailing addressPo Box 933087, Atlanta, GA 31193-3087

Other providers in Roswell