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Organization

MOUNTAIN EAR NOSE & THROAT ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MISTIE G COLLINS (PRACTICE ADMINSITRATOR)
(828) 586-7474
Entity
Organization

Contact information

Practice address
38 THE VILLAGE OVERLOOK, SYLVA, NC 28779-2616
(828) 586-7474
(828) 586-7473
Mailing address
38 THE VILLAGE OVERLOOK, SYLVA, NC 28779-2742
(828) 586-7474
(828) 586-7473

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0207R
BLUE CROSS BLUE SHIELD NC
NC
05
89016U1
NC
05
890207R
NC
01
DA0153
RAILROAD MEDICARE
NC
Enumeration date
05/19/2006
Last updated
07/21/2021
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