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

Southern Otologic Clinic PC

Organization Otology & Neurotology Physician · NPI 1184651523

Southern Otologic Clinic PC is an Otology & Neurotology Physician in Augusta, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

818 Saint Sebastian Way Ste 204
Augusta, GA 30901-2651
Phone: (706) 724-0668
Fax: (706) 724-1124
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otology & Neurotology Physician (primary) Taxonomy 207YX0901X · Licence 24465 (GA)

Record details

NPI number1184651523
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official William Moretz — President · (706) 724-0668
NPI enumeratedJune 28, 2006
Last updated in NPPESAugust 4, 2008
Mailing address818 Saint Sebastian Way, Suite 204, Augusta, GA 30901-2651

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