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Organization

CAROLINA EAR, NOSE & THROAT HEAD AND NECK SURGERY CENTER, P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. WILLARD CARDWELL HARRILL M.D. (PRESIDENT)
(828) 322-2183
Entity
Organization

Contact information

Practice address
275 HWY 16, SUITE 202, DENVER, NC 28037
(704) 483-6635
(704) 489-1101
Mailing address
275 HWY 16, SUITE 202, DENVER, NC 28037
(704) 483-6635
(704) 489-1101

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
9601626
NC
332S00000X
Hearing Aid Equipment

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0298Q
BCBS
NC
Enumeration date
06/20/2006
Last updated
10/06/2010
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