OrganizationActive
Northwest Ent Associates, PC
NPI 1821176967 · Otolaryngology/Facial Plastic Surgery Physician · Marietta, GA
Provider details
- NPI number
- 1821176967
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Carlos Egea, Administrator(770) 427-0368
- License
- 041239 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
80 Lacy St Nw
Marietta, GA 30060
Phone: (770) 427-0368
Fax: (678) 581-5969
Approximate (ZIP-level) locationGet directions
Mailing address
80 Lacy St Nw
Marietta, GA 30060
Registry dates
- Enumerated
- 2006-11-02
- Last updated
- 2012-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.