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

South Atlanta Ear Nose & Throat, PC

Organization Specialist · NPI 1548697196

South Atlanta Ear Nose & Throat, PC is a Specialist in Fayetteville, Georgia. Registered with an NPI since 2013.

In the registry since
2013
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

1240 Highway 54 W Ste 710
Fayetteville, GA 30214-4565
Phone: (770) 991-2800
Fax: (770) 997-3827
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1548697196
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tina Jackson — Business Manager · (678) 534-5992
NPI enumeratedSeptember 27, 2013
Last updated in NPPESApril 16, 2026
Certification dateApril 16, 2026
Mailing address1240 Highway 54 W Ste 710, Fayetteville, GA 30214-4565

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