# NORTH CAROLINA EYE EAR NOSE & THROAT, PA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** North Carolina Eye Ear Nose & Throat of North Raleigh
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598853178
- **Authorized official:** JENNIFER L WHITEHEAD (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (919) 595-2143

## Contact information

- **Practice address:** 8300 HEALTH PARK, SUITE 229, RALEIGH, NC 27615
- **Practice address phone:** (919) 595-2143
- **Practice address fax:** (919) 595-2186
- **Mailing address:** 4102 N ROXBORO ST, DURHAM, NC 27704-2122
- **Mailing address phone:** (919) 595-2000
- **Mailing address fax:** (919) 595-2186

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | — |
| 207W00000X | Ophthalmology Physician | — | — | — |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/10/2006
- **Last updated:** 09/11/2025