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Organization

CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA

Active
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Organization

CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JAG S GILL SCD (CEO/ADMINISTRATOR)
(704) 295-3366
Entity
Organization

Contact information

Practice address
1085 NE GATEWAY CT NE, SUITE 100, CONCORD, NC 28025-2406
(704) 782-2166
(704) 782-2533
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
NULL
231H00000X
Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
NULL
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
—
NULL
237700000X
Hearing Instrument Specialist
—
—

Other

Enumeration date
04/21/2011
Last updated
01/23/2024
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