Organization
NORTH CAROLINA EYE EAR NOSE & THROAT PA
Active
Organization
NORTH CAROLINA EYE EAR NOSE & THROAT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA B MYERS (PATIENT ACCOUNTING MANAGER)
(919) 595-2106
Entity
Organization
Contact information
Practice address
4102 N ROXBORO ST, DURHAM, NC 27704-2122
(919) 595-2000
(919) 595-2190
Mailing address
4102 N ROXBORO ST, DURHAM, NC 27704-2122
(919) 595-2000
(919) 595-2190
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
NA
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01750
BCBSNC-OPHTHALMOLOGY
NC
05
—
8901750
—
NY
Enumeration date
03/14/2007
Last updated
08/22/2020
Update your record
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