Organization
CAROLINA EAR, NOSE & THROAT-SINUS AND ALLERGY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOK FULMER (BUSINESS OFFICE)
(828) 322-2183
Entity
Organization
Contact information
Practice address
304 10TH AVE NE, HICKORY, NC 28601-3834
(828) 322-2183
(828) 328-2838
Mailing address
256 10TH AVE NE STE C, HICKORY, NC 28601-3882
(828) 322-2183
(828) 328-2838
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
237600000X
Audiologist-Hearing Aid Fitter
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0298Q
BCBS
NC
01
—
2995820-001
CIGNA
NC
05
—
3404212
—
NC
05
—
890298Q
—
NC
01
—
CK7483
RAILROAD MEDICARE NUMBER
NC
Enumeration date
04/06/2006
Last updated
06/14/2024
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