Type 2 organization · NPI 1013071273
NORTHSIDE EAR, NOSE & THROAT, PC
207Y00000X · ROSWELL, GA
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 207Y00000X | 207Y00000X | Primary |
| 207K00000X | 207K00000X | Additional |
| 207YX0007X | 207YX0007X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s