Ent Carolina PA

NPI #1699760702 in Gastonia, North Carolina

Provider Information

NPI Number: 1699760702
Entity Type: Organization
Organization Name: Ent Carolina PA
Primary Specialty: Specialist
Enumeration Date: Sep 14, 2005
Last Updated: Jan 10, 2008

Practice Location

Address: 2520 ABERDEEN BLVD
City: Gastonia
State: North Carolina
ZIP Code: 28054-0635
Phone: (704) 868-8400

Authorized Official

Name: MRS. JANE A BYRUM
Title: PRACTICE ADMINISTRATOR
Phone: (704) 868-8400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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