OrganizationActive
Ent of Athens, LLC
NPI 1063746709 · Sleep Medicine (Otolaryngology) Physician · Athens, GA
Provider details
- NPI number
- 1063746709
- Entity type
- Organization
- Primary specialty
- Sleep Medicine (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Amy Ellis, Billing Manager
- License
- 052997 (GA)
Practice location
150 Nacoochee Ave
Athens, GA 30601-1823
Phone: (706) 546-7908
Fax: (706) 546-1944
Mailing address
150 Nacoochee Ave
Athens, GA 30601-1823
Registry dates
- Enumerated
- 2009-09-29
- Last updated
- 2021-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.