Ear Nose & Throat Assc of Charl INC
NPI #1295735850 in Charleston, West Virginia
Provider Information
- NPI Number
- 1295735850
- Entity Type
- Organization
- Organization Name
- Ear Nose & Throat Assc of Charl INC
- Primary Specialty
- Otolaryngology
- Enumeration Date
- Jul 26, 2005
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 500 DONNALLY ST
- Address 2
- SUITE 200
- City
- Charleston
- State
- West Virginia
- ZIP Code
- 25301-1648
- Phone
- (304) 342-0124
Authorized Official
- Name
- MR. FREDERICK THOMAS SPORCK, MD
- Title
- PHYSICIAN DIRECTOR
- Phone
- (304) 340-2225
Specialties & Taxonomy Codes
| Specialty |
|---|
| Otolaryngology |
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