# CAROLINA ENT, PA

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

## Provider details

- **NPI number:** 1437188661
- **Authorized official:** MRS. JOAN MOORE (OFFICE MANAGER)
- **Authorized official phone:** (864) 281-9440

## Contact information

- **Practice address:** 131 COMMONWEALTH DR, SUITE 230, GREENVILLE, SC 29615-4883
- **Practice address phone:** (864) 281-9440
- **Mailing address:** 131 COMMONWEALTH DR, SUITE 230, GREENVILLE, SC 29615-4883
- **Mailing address phone:** (864) 281-9440

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP1309 | — | SC |