Organization
CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAG S GILL SCD (CEO/ADMINISTRATOR)
(704) 295-3366
Entity
Organization
Contact information
Practice address
1085 NE GATEWAY CT NE, SUITE 100, CONCORD, NC 28025-2406
(704) 782-2166
(704) 782-2533
Mailing address
6035 FAIRVIEW RD, CHARLOTTE, NC 28210-3256
(704) 295-3000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
237700000X
Hearing Instrument Specialist
—
—
Other
Enumeration date
04/21/2011
Last updated
01/23/2024
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