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Organization
EAR NOSE THROAT & AUDIOLOGY ASSOCIATES OF THE CAROLINAS, P.A.
Active
Organization
EAR NOSE THROAT & AUDIOLOGY ASSOCIATES OF THE CAROLINAS, P.A.
Active
Parent organization
EAR NOSE THROAT & AUDIOLOGY ASSOCIATES
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAR NOSE THROAT & AUDIOLOGY ASSOCIATES
Authorized official
LEROY BROADNAX (OFFICE MANAGER)
(704) 544-6533
Entity
Organization
Contact information
Practice address
7006 SHANNON WILLOW RD, CHARLOTTE, NC 28226-1318
(704) 544-6533
(704) 544-6583
Mailing address
8334 PINEVILLE MATTHEWS RD, STE 103151, CHARLOTTE, NC 28226-3774
(704) 544-6533
(704) 544-6583
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
05/22/2006
Last updated
08/14/2015
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