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
10300 GILEAD RD, SUITE 344-345, HUNTERSVILLE, NC 28078-7505
(704) 948-6044
(704) 948-6559
Mailing address
10300 GILEAD RD, SUITE 344-345, HUNTERSVILLE, NC 28078-7505
(704) 948-6044
(704) 948-6559
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0298Q
BCBS
NC
05
—
890298Q
—
NC
Enumeration date
06/15/2006
Last updated
08/22/2020
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