Individual
IAN T CHURNIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4600 LAKE BOONE TR., SUITE 100, RALEIGH, NC 27607
(919) 420-2027
(919) 571-8135
Mailing address
4600 LAKE BOONE TR., SUITE 100, RALEIGH, NC 27607
(919) 420-2027
(919) 571-8135
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
2022-01242
NC
Other
Enumeration date
03/20/2017
Last updated
08/28/2024
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