# CENTRAL CAROLINA ENT ASSOC PA

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

## Provider details

- **NPI number:** 1205863479
- **Authorized official:** WILLIAM C LELIEVER MD (PRESIDENT)
- **Authorized official phone:** (919) 774-6829

## Contact information

- **Practice address:** 1915 KM WICKER DRIVE, SANFORD, NC 27330
- **Practice address phone:** (919) 774-6829
- **Practice address fax:** (919) 775-2327
- **Mailing address:** 1915 KM WICKER DRIVE, SANFORD, NC 27330
- **Mailing address phone:** (919) 774-6829
- **Mailing address fax:** (919) 775-2327

## Taxonomy

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

## Other

- **Enumeration date:** 06/26/2006
- **Last updated:** 09/14/2009