Ear,nose&throat Head,neck&sinus Surgery,pc
NPI #1124214036 in Elizabeth City, North Carolina
Provider Information
- NPI Number
- 1124214036
- Entity Type
- Organization
- Organization Name
- Ear,nose&throat Head,neck&sinus Surgery,pc
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 25, 2007
- Last Updated
- Oct 20, 2008
Practice Location
- Address
- 105 MEDICAL DR
- City
- Elizabeth City
- State
- North Carolina
- ZIP Code
- 27909-3361
- Phone
- (252) 337-7409
Authorized Official
- Name
- DR. ANTHONY W JACKSON SR., MD
- Title
- PRESIDENT OF CORPORATION
- Phone
- (252) 337-7409
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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