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Northwest Ear Nose & Throat, Pa
Medical Specialty Clinic/Center in Elkin, North Carolina
NPI 1225113848

Northwest Ear Nose & Throat, Pa is a Medical Specialty Clinic/Center based in Elkin, NC and is specialized in Medical Specialty. Northwest Ear Nose & Throat, Pa practices in Elkin, NC. The NPI Number for Northwest Ear Nose & Throat, Pa is 1225113848 and holds a License No. 74908 (North Carolina).

The current practice location address for Northwest Ear Nose & Throat, Pa is 250 Johnson Ridge Medical Park, Elkin, NC and can be reached out via phone at 336-526-1977 and via fax at 336-526-0061.

Location: 250 Johnson Ridge Medical Park, Elkin, NC, 28621-2443
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1225113848
Provider Name
Northwest Ear Nose & Throat, Pa
Credential
Provider Entity Type
Organization
Address
250 Johnson Ridge Medical Park, Elkin, NC, 28621-2443
Phone Number
336-526-1977
Fax Number
336-526-0061
Provider Enumeration Date
10/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
890264P 05 NC
institution
Provider Business Practice Location Address Details
Address
250 Johnson Ridge Medical Park
City
Elkin
State
North Carolina
Zip
28621-2443
Phone Number
336-526-1977
Fax Number
336-526-0061
person
Provider Business Mailing Address Details
Address
250 Johnson Ridge Medical Park
City
Elkin
State
North Carolina
Zip
28621-2443
Phone Number
336-526-1977
Fax Number
336-526-0061
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Medical Specialty
Taxonomy
261QM2500X
License No.
74908 (North Carolina)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
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