# MECKLENBURG EAR NOSE AND THROAT

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

## Provider details

- **NPI number:** 1417978313
- **Authorized official:** MARY FISCHER MSHA (PRACTICE MANAGER)
- **Authorized official phone:** (705) 376-1220

## Contact information

- **Practice address:** 2614 E SEVENTH ST, CHARLOTTE, NC 28204-4375
- **Practice address phone:** (704) 376-1220
- **Practice address fax:** (704) 376-1229
- **Mailing address:** 2614 E SEVENTH ST, CHARLOTTE, NC 28204-4375
- **Mailing address phone:** (704) 376-1220
- **Mailing address fax:** (704) 376-1229

## Taxonomy

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

## Other

- **Enumeration date:** 07/23/2006
- **Last updated:** 06/22/2010