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Organization

QUEEN CITY EAR NOSE AND THROAT PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARON JAMES SMITH MD (PHYSICIAN)
(704) 703-1080
Entity
Organization

Contact information

Practice address
8924 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6660
(704) 996-5353
Mailing address
8924 BLAKENEY PROFESSIONAL DR, CHARLOTTE, NC 28277-6660
(704) 703-1080

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1174183156
NATIONAL PROVIDER IDENTIFIER
NC
Enumeration date
06/20/2019
Last updated
02/01/2022
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