The Head and Neck Center: for Otolaryngology, Facial Plastic and Recon
NPI #1215183215 in Seneca, South Carolina
Provider Information
- NPI Number
- 1215183215
- Entity Type
- Organization
- Organization Name
- The Head and Neck Center: for Otolaryngology, Facial Plastic and Recon
- Primary Specialty
- Clinic/Center - Medical Specialty
- Enumeration Date
- Aug 11, 2008
- Last Updated
- Aug 11, 2008
Practice Location
- Address
- 2 LEAS COURTYARD DR
- City
- Seneca
- State
- South Carolina
- ZIP Code
- 29672-6660
- Phone
- (864) 482-2191
Authorized Official
- Name
- DR. CHARLES P THEIVAGT, MD
- Title
- PRESIDENT
- Phone
- (864) 482-2191
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Medical Specialty — Medical Specialty |
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