SOUTH LAKE EARS NOSE & THROAT PA

HUNTERSVILLE, NC
NPI1154695872
Entity TypeOrganization
Authorized ContactSTAN D PHILLIPS
Owner
704-896-1909
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: NC  9701107)
Enumeration Date2012-02-27
Last Update Date2012-02-27
Business Address
SOUTH LAKE EARS NOSE & THROAT PA
9710 SAM FURR RD UNIT D
HUNTERSVILLE, NC 28078-4928
Phone number: 704-896-1909
Mailing Address
SOUTH LAKE EARS NOSE & THROAT PA
9710 SAM FURR RD UNIT D
HUNTERSVILLE, NC 28078-4928
Phone number: 704-896-1909
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