# FLORENCE EARS, NOSE & THROAT, PC

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

## Provider details

- **NPI number:** 1730292376
- **Authorized official:** HOWARD A FARRELL (PHYSICIAN/OWNER)
- **Authorized official phone:** (843) 665-2900

## Contact information

- **Practice address:** 1521 MCLURE CT, FLORENCE, SC 29505-6174
- **Practice address phone:** (843) 665-2900
- **Practice address fax:** (843) 629-8122
- **Mailing address:** 1521 MCLURE CT, FLORENCE, SC 29505-6174
- **Mailing address phone:** (843) 665-2900
- **Mailing address fax:** (843) 629-8122

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 19910 | SC | — |
| 207Y00000X | Otolaryngology Physician | 19910 | SC | Yes |
| 207Y00000X | Otolaryngology Physician | — | NULL | — |
| 207Y00000X | Otolaryngology Physician | — | — | — |

## Other

- **Enumeration date:** 08/17/2006
- **Last updated:** 03/17/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP3614 | — | SC |