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

Pediatric Ear, Nose, & Throat of Atlanta, PC

Organization Pediatric Otolaryngology Physician · NPI 1134380017

Pediatric Ear, Nose, & Throat of Atlanta, PC is a Pediatric Otolaryngology Physician in Atlanta, Georgia. Registered with an NPI since 2008.

In the registry since
2008
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

5461 Meridian Mark Rd Ste 130
Atlanta, GA 30342
Phone: (404) 255-2033
Fax: (404) 252-1901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Otolaryngology Physician (primary) Taxonomy 207YP0228X

Record details

NPI number1134380017
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Thomsen — Partner/Physician · (404) 255-2033
NPI enumeratedJune 23, 2008
Last updated in NPPESMay 25, 2018
Mailing address5461 Meridian Mark Road Suite 130, Atlanta, GA 30342-1654

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