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Organization
EASTERN ENT SINUS AND ALLERGY CENTER, PA
Active
Organization
EASTERN ENT SINUS AND ALLERGY CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN MCCULLEN (PRACTICE ADMINISTRATOR)
(919) 735-9146
Entity
Organization
Contact information
Practice address
2707 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9458
(919) 735-9146
(919) 735-0582
Mailing address
2707 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9458
(919) 735-9146
(919) 735-0582
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
—
NULL
207Y00000X
Otolaryngology Physician
—
—
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
NULL
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
—
—
207YX0602X
Otolaryngic Allergy Physician
—
NULL
207YX0602X
Otolaryngic Allergy Physician
—
—
Other
Enumeration date
06/22/2006
Last updated
02/08/2010
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