Organization
NORTH CAROLINA EYE EAR NOSE & THROAT PA
Active
Other names
North Carolina Eye Ear Nose & Throat of Roxboro
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L WHITEHEAD (CREDENTIALING COORDINATOR)
(919) 595-2143
Entity
Organization
Contact information
Practice address
911 RIDGE RD STE A, ROXBORO, NC 27573-4574
(336) 597-2826
(336) 597-2626
Mailing address
4102 N ROXBORO ST, DURHAM, NC 27704-2122
(919) 595-2000
(919) 595-2143
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
—
—
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
09/11/2025
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