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Organization

CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAG S GILL (ADMINISTRATOR)
(704) 295-3366
Entity
Organization

Contact information

Practice address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 838-8494
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 838-8494

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
DAN990
SC
Enumeration date
09/21/2009
Last updated
01/23/2024
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