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Crystal Coast Ear, Nose & Throat
Specialist in Jacksonville, North Carolina
NPI 1780893974

Crystal Coast Ear, Nose & Throat is a Specialist based in Jacksonville, NC. Crystal Coast Ear, Nose & Throat practices in Jacksonville, NC. The NPI Number for Crystal Coast Ear, Nose & Throat is 1780893974 and holds a License No. 9600643 (North Carolina).

The current practice location address for Crystal Coast Ear, Nose & Throat is 42 Office Park Dr, Jacksonville, NC and can be reached out via phone at 910-545-4159.

Location: 42 Office Park Dr, Jacksonville, NC, 28546-2125
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780893974
Provider Name
Crystal Coast Ear, Nose & Throat
Credential
Provider Entity Type
Organization
Address
42 Office Park Dr, Jacksonville, NC, 28546-2125
Phone Number
910-545-4159
Fax Number
Provider Enumeration Date
05/22/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
890200V 05 NC
8959181 05 NC
institution
Provider Business Practice Location Address Details
Address
42 Office Park Dr
City
Jacksonville
State
North Carolina
Zip
28546-3217
Phone Number
910-545-4159
Fax Number
person
Provider Business Mailing Address Details
Address
42 Office Park Dr
City
Jacksonville
State
North Carolina
Zip
28546-3217
Phone Number
910-545-4159
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
9600643 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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