Organization
NORTH CAROLINA EYE EAR NOSE & THROAT PA
Active
Organization
NORTH CAROLINA EYE EAR NOSE & THROAT PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA B MYERS (PATIENT ACCOUNTING MANGER)
(919) 595-2106
Entity
Organization
Contact information
Practice address
4102 N ROXBORO ST, DURHAM, NC 27704-2122
(919) 595-2000
(919) 595-2186
Mailing address
4102 N ROXBORO ST, DURHAM, NC 27704-2122
(919) 595-2000
(919) 595-2186
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
NA
NC
207Y00000X
Otolaryngology Physician
NA
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01750
BCBCNC-OPHTHALMOLOGY
NC
01
—
0248A
BCBSNC-OTOLARYNGOLOGY
NC
05
—
8901750
—
NC
05
—
890248A
—
NC
Enumeration date
08/02/2005
Last updated
02/20/2013
Update your record
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