Organization
MIDCAROLINA ENT
Active
Other names
ALBEMARLE ENT
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA J EMERY (OFFICE MANAGER)
(704) 983-5350
Entity
Organization
Contact information
Practice address
1908 HILCO ST, SUITE A, ALBEMARLE, NC 28001-6387
(704) 983-5350
(704) 983-5370
Mailing address
1908 HILCO ST, SUITE A, ALBEMARLE, NC 28001-6387
(704) 983-5350
(704) 983-5370
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89014V0
—
NC
Enumeration date
08/17/2006
Last updated
10/21/2011
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