Canton Ear Nose and Throat Clinic, P.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

026511 Issued in GA

Legal business name

CANTON EAR NOSE AND THROAT CLINIC, P.C.

Practice address

8294 Highway 92
Suite 110
Woodstock, GA 30189-3672

Phone

(770) 924-1915

Fax

(770) 516-9629

NPI assigned

Mar 13, 2007

Last updated

Jun 3, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ramona Edwards

Title

Office Manager

Phone

(770) 924-1915

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David L Edwards, M.D.

  • Specialist
  • Athens, GA
  • NPI 1730253220
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1508999236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8294 HIGHWAY 92",
            "address_2": "SUITE 110",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893672",
            "telephone_number": "770-924-1915",
            "fax_number": "770-516-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8294 HIGHWAY 92",
            "address_2": "SUITE 110",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301893672",
            "telephone_number": "770-924-1915",
            "fax_number": "770-516-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANTON EAR NOSE AND THROAT CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-924-1915"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "026511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Phillip Callihan Sr., R.PH.
• Camellia Place of Woodstock, LLC
• Jose Miguel Canelon, DPT
• Robert Clayton Cannon, DMD
• Victoria Elizabeth Cannon, PA-C
• Kristen Marie Capovilla, WHNP-BC
• Raymond V Caputo, D.C.
• Claire Carder
• Jason Cardillo, PTA
• Caritas Hospice Care of Northwest Georgia LLC

• Specialist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.