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Organization
CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
Active
Organization
CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAG S GILL SCD (CEO)
(704) 295-3000
Entity
Organization
Contact information
Practice address
1 MEDICAL PARK DR, SUITE 1B, CHESTER, SC 29706-9769
(803) 385-5515
(803) 377-8301
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NULL
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
11/20/2014
Last updated
11/20/2014
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