Organization
RALEIGH EAR, NOSE, AND THROAT, HEAD AND NECK SURGERY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOANNE P DAVIS (ADMINISTRATOR)
(919) 420-2027
Entity
Organization
Contact information
Practice address
10208 CERNY ST, SUITE 300, RALEIGH, NC 27617-7884
(919) 354-1290
(919) 420-2028
Mailing address
PO BOX 18946, RALEIGH, NC 27619-8946
(919) 787-7171
(919) 420-2028
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5907977
—
NC
Enumeration date
06/25/2009
Last updated
06/25/2009
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