| Organization Name: | CAROLINA EAR, NOSE & THROAT HEAD AND NECK SURGERY CENTER, P.A. |
| NPI Number: | 1407890361 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLARD CARDWELL HARRILL (PRESIDENT) |
| Mailing Address: | 114 Gateway Blvd Suite B Mooresville |
| State: | NC US |
| Postal Code: | 281175540 |
| Phone Number: | 7046580720 |
| Fax Number: | 7046630382 |
| NPI Enumeration Date: | 06/15/2006 |
| NPI Last Update Date: | 10/01/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332S00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Hearing Aid Equipment |
| Taxonomy Specialization: | |
| Taxonomy Definition: | The manufacture and/or sale of electronic hearing aids, their component parts, and related products and services on a national basis. |