Blue Water Ear Nose and Throat, P.a.
NPI #1295255255 in Nags Head, North Carolina
Provider Information
- NPI Number
- 1295255255
- Entity Type
- Organization
- Organization Name
- Blue Water Ear Nose and Throat, P.a.
- Primary Specialty
- Otolaryngology
- Enumeration Date
- Jun 21, 2017
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 4917 S CROATAN HWY STE 1C
- City
- Nags Head
- State
- North Carolina
- ZIP Code
- 27959-8996
- Phone
- (252) 489-4682
Authorized Official
- Name
- DR. MARCI ELLEN LAIT, MD
- Title
- PHYSICIAN
- Phone
- (252) 489-4682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
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