# WILKES ENT& AUDIOLOGY, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mt. Airy ENT-Head & Neck Surgery Audiology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720025851
- **Authorized official:** DR. M BARRY ELLIS MD (OWNER DOCTOR)
- **Authorized official phone:** (336) 673-3125

## Contact information

- **Practice address:** 708 S SOUTH ST STE 300, MOUNT AIRY, NC 27030-4589
- **Practice address phone:** (336) 838-7758
- **Practice address fax:** (336) 838-7758
- **Mailing address:** 708 S SOUTH ST STE 300, MOUNT AIRY, NC 27030-4589
- **Mailing address phone:** (336) 673-3125
- **Mailing address fax:** (336) 838-9790

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | — | NULL | Yes |
| 207Y00000X | Otolaryngology Physician | — | — | Yes |
| 208600000X | Surgery Physician | — | NULL | — |
| 208600000X | Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 05/31/2006
- **Last updated:** 01/06/2020