Organization
CAROLINA ENT SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PETER G CHIKES MD (OWNER)
(704) 782-2166
Entity
Organization
Contact information
Practice address
1085 NE GATEWAY CT, SUITE 100, CONCORD, NC 28025-2406
(704) 782-2166
(704) 782-2533
Mailing address
1085 NE GATEWAY CT, SUITE 100, CONCORD, NC 28025-2406
(704) 782-2166
(704) 782-2533
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
231H00000X
Audiologist
—
—
237700000X
Hearing Instrument Specialist
—
—
363A00000X
Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
890112H
—
NC
Enumeration date
07/12/2006
Last updated
06/29/2010
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