Organization
BLUE WATER EAR NOSE AND THROAT, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARCI ELLEN LAIT MD (PHYSICIAN)
(252) 489-4682
Entity
Organization
Contact information
Practice address
4917 S CROATAN HWY STE 1C, NAGS HEAD, NC 27959-8996
(252) 489-4682
Mailing address
4917 S CROATAN HWY STE 1C, NAGS HEAD, NC 27959-8996
(252) 489-4682
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NC
Other
Enumeration date
06/21/2017
Last updated
07/21/2022
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