# CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174814438
- **Authorized official:** JAG S GILL SCD (CEO/ADMINISTRATOR)
- **Authorized official phone:** (704) 295-3366

## Contact information

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

## Taxonomy

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