| Ear,nose&throat Head,neck&sinus Surgery,pc | |
|
105 Medical Dr Elizabeth City NC 27909-3361 | |
| (252) 337-7409 | |
| (252) 337-7410 |
| Full Name | Ear,nose&throat Head,neck&sinus Surgery,pc |
|---|---|
| Speciality | Clinic/center |
| Location | 105 Medical Dr, Elizabeth City, North Carolina |
| Authorized Official Name and Position | Anthony W Jackson (PRESIDENT OF CORPORATION) |
| Authorized Official Contact | 2523377409 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ear,nose&throat Head,neck&sinus Surgery,pc 105 Medical Dr Elizabeth City NC 27909-3361 Ph: (252) 337-7409 | Ear,nose&throat Head,neck&sinus Surgery,pc 105 Medical Dr Elizabeth City NC 27909-3361 Ph: (252) 337-7409 |
| NPI Number | 1124214036 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 10/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124214036 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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