Organization · Type 2 NPI

Ear,nose&throat Head,neck&sinus Surgery,pc

Clinic/Center · Elizabeth City, NC

NPI number 1124214036 Active

Practice location

105 Medical Dr
Elizabeth City, NC 27909-3361

Fax (252) 337-7410

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XNone listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

3 other providers at this address

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About NPI 1124214036

Ear,nose&throat Head,neck&sinus Surgery,pc's National Provider Identifier is 1124214036, issued on Sep 25, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Elizabeth City, NC. The record was last updated on Oct 20, 2008.