Provider Demographics
NPI:1952029423
Name:ENT CLINICS OF GREENVILLE-THE GREENVILLE SINUS CENTER, PA
Entity Type:Organization
Organization Name:ENT CLINICS OF GREENVILLE-THE GREENVILLE SINUS CENTER, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROSS
Authorized Official - Middle Name:
Authorized Official - Last Name:GERMANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-812-2987
Mailing Address - Street 1:PO BOX 16237
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29606-7237
Mailing Address - Country:US
Mailing Address - Phone:305-812-2987
Mailing Address - Fax:
Practice Address - Street 1:1521 LAURENS RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29606-1001
Practice Address - Country:US
Practice Address - Phone:305-812-2987
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-19
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty