OrganizationActive
Ear, Nose & Throat Plastic Surgery Center
NPI 1821163577 · Otolaryngology/Facial Plastic Surgery Physician · Douglasville, GA
Provider details
- NPI number
- 1821163577
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Neil Persaud, Owner
Practice location
6130 Prestley Mill Rd Ste C
Douglasville, GA 30134-2288
Phone: (678) 838-3903
Fax: (678) 838-7454
Mailing address
6130 Prestley Mill Rd Ste C
Douglasville, GA 30134-2288
Registry dates
- Enumerated
- 2006-11-21
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.