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CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES PA NPI 1528423068


NPI Information

NPI: 1528423068
Provider Name: CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA
Classification: Otolaryngology - 207Y00000X
Entity Type: Organization

CLIA Number: 34D2122073

Address:
149 PLANTATION RIDGE DRIVE
SUITE 190
MOORESVILLE, NC
ZIP 28117
Phone: (704) 658-0595
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CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA is an otolaryngology in Mooresville, NC. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, PA NPI is 1528423068. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

149 PLANTATION RIDGE DRIVE
SUITE 190
MOORESVILLE, NC
ZIP 28117-178
Phone: (704) 658-0595
Fax: (704) 658-0916

The provider's authorized official is Jag S Gill .
The authorized official title is Ceo and has the following contact phone number (704) 295-3000.

The CLIA number assigned to this NPI record is 34D2122073 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2015 and was last updated on 12/29/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Y00000XOtolaryngologyNORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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