Organization
CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAG S GILL SCD (CEO)
(704) 295-3000
Entity
Organization
Contact information
Practice address
646 HARTNESS RD, STATESVILLE, NC 28677-3423
(704) 295-3000
(704) 838-8494
Mailing address
6035 FAIRVIEW ROAD, CHARLOTTE, NC 28210-3256
(704) 295-3000
(704) 838-8494
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
207Y00000X
Otolaryngology Physician
—
—
Other
Enumeration date
09/12/2007
Last updated
01/23/2024
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