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1124214036
EAR,NOSE&THROAT HEAD,NECK&SINUS SURGERY,PC
ELIZABETH CITY, NC
NPI
1124214036
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Entity Type
Organization
Authorized Contact
ANTHONY W JACKSON
President Of Corporation
252-337-7409
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2007-09-25
Last Update Date
2008-10-20
Business Address
EAR,NOSE&THROAT HEAD,NECK&SINUS SURGERY,PC
105 MEDICAL DR
ELIZABETH CITY, NC 27909-3361
Phone number: 252-337-7409
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Mailing Address
EAR,NOSE&THROAT HEAD,NECK&SINUS SURGERY,PC
105 MEDICAL DR
ELIZABETH CITY, NC 27909-3361
Phone number: 252-337-7409
Copy
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