# CAPITOL EAR, NOSE & THROAT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Capitol ENT
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477554327
- **Authorized official:** DR. MARK BROWN MD (PRESIDENT)
- **Authorized official phone:** (919) 787-1374

## Contact information

- **Practice address:** 4600 LAKE BOONE TRAIL, SUITE 100, RALEIGH, NC 27607-7529
- **Practice address phone:** (919) 787-1374
- **Practice address fax:** (919) 571-8135
- **Mailing address:** 4600 LAKE BOONE TRAIL, SUITE 100, RALEIGH, NC 27607-7529
- **Mailing address phone:** (919) 787-1374
- **Mailing address fax:** (919) 571-8135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207YX0905X | Otolaryngology/Facial Plastic Surgery Physician | — | NC | Yes |
| 231H00000X | Audiologist | — | NC | — |
| 235Z00000X | Speech-Language Pathologist | — | NC | — |
| 332S00000X | Hearing Aid Equipment | — | NC | — |

## Other

- **Enumeration date:** 08/02/2005
- **Last updated:** 08/08/2012