Organization
ENT CAROLINA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC E LEVY MD (SENIOR PARTNER)
(704) 868-8400
Entity
Organization
Contact information
Practice address
1180 WYKE RD, SHELBY, NC 28150-4259
(704) 487-9100
(704) 487-5230
Mailing address
2520 ABERDEEN BLVD, GASTONIA, NC 28054-0635
(704) 868-8400
(704) 868-8493
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890171M
—
NC
Enumeration date
07/30/2009
Last updated
07/30/2009
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