Provider Demographics
NPI:1790829950
Name:GEORGIA NASAL & SINUS INSTITUTE, PC
Entity Type:Organization
Organization Name:GEORGIA NASAL & SINUS INSTITUTE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:A
Authorized Official - Last Name:KUHN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:912-355-1070
Mailing Address - Street 1:4750 WATERS AVE
Mailing Address - Street 2:SUITE 112
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31404-6200
Mailing Address - Country:US
Mailing Address - Phone:912-355-1070
Mailing Address - Fax:912-355-9773
Practice Address - Street 1:4750 WATERS AVE
Practice Address - Street 2:SUITE 112
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31404-6200
Practice Address - Country:US
Practice Address - Phone:912-355-1070
Practice Address - Fax:912-355-9773
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA019439B207Y00000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Not Answered208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA=========OtherEIN
GA=========OtherEIN