Organization
PIEDMONT EAR, NOSE & THROAT ASSOCIATES, P.A.
Active
Other names
Piedmont Ear, Nose, and Throat
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS SCOTT MARTIN (PRACTICE ADMINISTRATOR)
(336) 714-1039
Entity
Organization
Contact information
Practice address
110 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 768-3368
(336) 659-2446
Mailing address
110 CHARLOIS BLVD, WINSTON SALEM, NC 27103-1522
(336) 768-3361
(336) 659-2446
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
40141
NC
207Y00000X
Otolaryngology Physician
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7901253
—
NC
Enumeration date
06/20/2006
Last updated
01/25/2024
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