Organization
CAROLINA EAR, NOSE & THROAT HEAD AND NECK SURGERY CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLARD CARDWELL HARRILL M.D. (PRESIDENT)
(828) 322-2183
Entity
Organization
Contact information
Practice address
114 GATEWAY BLVD, SUITE B, MOORESVILLE, NC 28117-5540
(704) 658-0720
(704) 663-0382
Mailing address
114 GATEWAY BLVD, SUITE B, MOORESVILLE, NC 28117-5540
(704) 658-0720
(704) 663-0382
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NC
332S00000X
Hearing Aid Equipment
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0298Q
BCBS
NC
Enumeration date
06/15/2006
Last updated
10/01/2010
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