Charlotte Eye Ear Nose & Throat Associates, PA
Ophthalmology in Statesville, NC. Organization (NPI-2).
NPI number1154516201
StatusActive
Last updated in NPPESJan 23, 2024
Details
- NPI
- 1154516201
- Entity type
- Organization (NPI-2)
- Legal business name
- Charlotte Eye Ear Nose & Throat Associates, PA
- Organization subpart
- No
- Enumeration date
- Sep 12, 2007
- Certification date
- Jan 23, 2024
- Last updated
- Jan 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | – | – | Yes |
| 207Y00000X | Otolaryngology | – | – |
Practice location
646 Hartness RdStatesville, NC 28677-3423
Phone 704-295-3000 · Fax 704-838-8494
Mailing address
6035 Fairview RoadCharlotte, NC 28210-3256
Phone 704-295-3000 · Fax 704-838-8494
Authorized official
Jag S Gill
Ceo
7042953000
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Other Ophthalmology Physician providers in Statesville, NC
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All 8 Ophthalmology Physician providers in Statesville · All 1,812 providers in Statesville
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