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Organization

RANDOLPH EAR, NOSE & THROAT ASSOCIATES, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHARLES WEST M.D. (PRESIDENT)
(336) 625-1007
Entity
Organization

Contact information

Practice address
139 W. SWANNANOA AVE, LIBERTY, NC 27298
(336) 622-5492
(336) 625-0350
Mailing address
124 N PARK ST, ASHEBORO, NC 27203-5440
(336) 625-1007

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Enumeration date
10/31/2006
Last updated
08/22/2020
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