| NPI | 1720025851 |
|---|---|
| Doing Business As | MT. AIRY ENT-HEAD & NECK SURGERY AUDIOLOGY |
| Entity Type | Organization |
| Authorized Contact | M BARRY ELLIS Owner Doctor 336-673-3125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2020-01-06 |