Organization
CAROLINA OTOLARYNGOLOGY CONSULTANTS PA
Active
Parent organization
CAROLINA OTOLARYNGOLOGY CONSULTANTS PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CAROLINA OTOLARYNGOLOGY CONSULTANTS PA
Authorized official
DR. MICHAEL D CRAWFORD M.D. (PRESIDENT)
(252) 937-4100
Entity
Organization
Contact information
Practice address
215 SMITH CHURCH RD, ROANOKE RAPIDS, NC 27870-4913
(252) 535-2311
Mailing address
804 ENGLISH RD, SUITE 200, ROCKY MOUNT, NC 27804-6032
(252) 937-4100
(252) 937-4103
Taxonomy
Speciality
Code
Description
License number
State
207YX0602X
Otolaryngic Allergy Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8901256
—
NC
Enumeration date
12/17/2007
Last updated
12/17/2007
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