Provider Demographics
NPI:1053463240
Name:ENT,SINUS&ALLERGY SPECIALISTS
Entity Type:Organization
Organization Name:ENT,SINUS&ALLERGY SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:N
Authorized Official - Last Name:WHITMIRE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-534-5208
Mailing Address - Street 1:584 LANIER PARK DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30501-2000
Mailing Address - Country:US
Mailing Address - Phone:770-354-5208
Mailing Address - Fax:770-534-8512
Practice Address - Street 1:584 LANIER PARK DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30501-2000
Practice Address - Country:US
Practice Address - Phone:770-354-5208
Practice Address - Fax:770-534-8512
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0602XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngic AllergyGroup - Single Specialty