# PIEDMONT EAR, NOSE & THROAT ASSOCIATES, P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Piedmont Ear, Nose, and Throat
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649216631
- **Authorized official:** THOMAS SCOTT MARTIN (PRACTICE ADMINISTRATOR)
- **Authorized official phone:** (336) 714-1039

## Contact information

- **Practice address:** 110 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
- **Practice address phone:** (336) 768-3368
- **Practice address fax:** (336) 659-2446
- **Mailing address:** 110 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
- **Mailing address phone:** (336) 768-3361
- **Mailing address fax:** (336) 659-2446

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | 40141 | NC | Yes |
| 207Y00000X | Otolaryngology Physician | — | NC | — |

## Other

- **Enumeration date:** 06/20/2006
- **Last updated:** 01/25/2024