Organization
ENT & AUDIOLOGY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS K HOLMES MD (CO OWNER)
(919) 782-9003
Entity
Organization
Contact information
Practice address
3820 ED DR, RALEIGH, NC 27612-8037
(919) 782-9003
(919) 782-9303
Mailing address
3820 ED DR, RALEIGH, NC 27612-8037
(919) 782-9003
(919) 782-9303
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02194
BCBS
NC
01
—
38863
WELLPATH
NC
05
—
8901957
—
NC
Enumeration date
03/09/2006
Last updated
04/28/2008
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