Organization
NORTHWEST EAR NOSE & THROAT, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DONNA S CHEEK (PRACTICE MANAGER)
(336) 526-1977
Entity
Organization
Contact information
Practice address
250 JOHNSON RIDGE MEDICAL PARK, ELKIN, NC 28621-2443
(336) 526-1977
(336) 526-0061
Mailing address
250 JOHNSON RIDGE MEDICAL PARK, ELKIN, NC 28621-2443
(336) 526-1977
(336) 526-0061
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
74908
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890264P
—
NC
Enumeration date
10/25/2006
Last updated
01/15/2008
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