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Organization

RALEIGH EAR, NOSE, & THROAT ASSOC INC

Active
Other names
Raleigh Ear, Nose, and Throat, Head and Neck Surgery, Inc
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOANNE P DAVIS (ADMINISTRATOR)
(919) 420-2027
Entity
Organization

Contact information

Practice address
3010 ANDERSON DR, RALEIGH, NC 27609-7796
(919) 787-7171
(919) 420-2028
Mailing address
PO BOX 18946, RALEIGH, NC 27619-8946
(919) 787-7171
(919) 420-2028

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
02498
BCBS
NC
01
230173
MEDICARE
05
8902498
NC
Enumeration date
03/20/2006
Last updated
07/06/2011
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