# CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA

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

## Provider details

- **NPI number:** 1386077709
- **Authorized official:** DR. JAG S GILL SCD (CEO)
- **Authorized official phone:** (704) 295-3000

## Contact information

- **Practice address:** 315 MOCKSVILLE AVE, SALISBURY, NC 28144-3327
- **Practice address phone:** (704) 637-3344
- **Practice address fax:** (704) 637-0118
- **Mailing address:** 315 MOCKSVILLE AVE, SALISBURY, NC 28144-3327
- **Mailing address phone:** (704) 637-3344
- **Mailing address fax:** (704) 637-0118

## Taxonomy

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

## Other

- **Enumeration date:** 08/21/2013
- **Last updated:** 08/21/2013