Organization
CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAG GILL (CEO)
(704) 295-3400
Entity
Organization
Contact information
Practice address
400 E BROOKLYN VILLAGE AVE # A1, CHARLOTTE, NC 28202-3601
(704) 295-3000
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
08/02/2019
Last updated
01/18/2024
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