# EAR NOSE THROAT & AUDIOLOGY ASSOCIATES OF THE CAROLINAS, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EAR NOSE THROAT & AUDIOLOGY ASSOCIATES
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1093769069
- **Legal business name:** EAR NOSE THROAT & AUDIOLOGY ASSOCIATES
- **Authorized official:** LEROY BROADNAX (OFFICE MANAGER)
- **Authorized official phone:** (704) 544-6533

## Contact information

- **Practice address:** 7006 SHANNON WILLOW RD, CHARLOTTE, NC 28226-1318
- **Practice address phone:** (704) 544-6533
- **Practice address fax:** (704) 544-6583
- **Mailing address:** 8334 PINEVILLE MATTHEWS RD, STE 103151, CHARLOTTE, NC 28226-3774
- **Mailing address phone:** (704) 544-6533
- **Mailing address fax:** (704) 544-6583

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/22/2006
- **Last updated:** 08/14/2015