Organization
MECKLENBURG EAR NOSE AND THROAT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY FISCHER MSHA (PRACTICE MANAGER)
(705) 376-1220
Entity
Organization
Contact information
Practice address
2614 E SEVENTH ST, CHARLOTTE, NC 28204-4375
(704) 376-1220
(704) 376-1229
Mailing address
2614 E SEVENTH ST, CHARLOTTE, NC 28204-4375
(704) 376-1220
(704) 376-1229
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890147Q
—
NC
Enumeration date
07/23/2006
Last updated
06/22/2010
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