Organization
CAPITOL EAR, NOSE & THROAT
Active
Other names
Capitol ENT
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BROWN MD (PRESIDENT)
(919) 787-1374
Entity
Organization
Contact information
Practice address
4600 LAKE BOONE TRAIL, SUITE 100, RALEIGH, NC 27607-7529
(919) 787-1374
(919) 571-8135
Mailing address
4600 LAKE BOONE TRAIL, SUITE 100, RALEIGH, NC 27607-7529
(919) 787-1374
(919) 571-8135
Taxonomy
Speciality
Code
Description
License number
State
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
—
NC
231H00000X
Audiologist
—
NC
235Z00000X
Speech-Language Pathologist
—
NC
332S00000X
Hearing Aid Equipment
—
NC
Other
Enumeration date
08/02/2005
Last updated
08/08/2012
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