# RANDOLPH EAR, NOSE & THROAT ASSOCIATES, P.A.

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

## Provider details

- **NPI number:** 1235215377
- **Authorized official:** MR. CHARLES WEST M.D. (PRESIDENT)
- **Authorized official phone:** (336) 625-1007

## Contact information

- **Practice address:** 139 W. SWANNANOA AVE, LIBERTY, NC 27298
- **Practice address phone:** (336) 622-5492
- **Practice address fax:** (336) 625-0350
- **Mailing address:** 124 N PARK ST, ASHEBORO, NC 27203-5440
- **Mailing address phone:** (336) 625-1007

## Taxonomy

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

## Other

- **Enumeration date:** 10/31/2006
- **Last updated:** 08/22/2020