Organization
EASTERN ENT SINUS & ALLERGY CENTER, PA
Active
Parent organization
EASTERN ENT SINUS & ALLERGY CENTER, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
EASTERN ENT SINUS & ALLERGY CENTER, PA
Authorized official
DANIEL WHITLEY JR. MD (PRESIDENT)
(919) 735-9146
Entity
Organization
Contact information
Practice address
504 BALSEY ST, CLINTON, NC 28328-2902
(910) 592-9993
(910) 593-9994
Mailing address
2707 MEDICAL OFFICE PL, GOLDSBORO, NC 27534-9458
(919) 735-9146
(919) 735-0582
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
28594
NC
Other
Enumeration date
11/07/2008
Last updated
01/13/2009
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