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General NPI Number Information
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NPI Number | 1932036712
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Entity Type | Organization
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Legal Business Name | CHARLOTTE EYE EAR NOSE & THROAT ASSOCIATES, P.A.
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Dates
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Enumeration Date | 05/06/2026
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Last Update Date | 05/06/2026
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Provider Practice Location Address
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Address Line | 250 JOHNSON RIDGE MEDICAL PARK
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City | ELKIN
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State | NC
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Zip | 28621-2443
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Country | US
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Telephone | 336-526-1977
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Fax | 336-526-0061
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Provider Business Mailing Address
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Address Line | 6035 FAIRVIEW RD
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City | CHARLOTTE
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State | NC
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Zip | 28210-3256
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Country | US
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Telephone | 704-295-3000
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Fax | 704-838-8494
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | GREGORY STOKES PARSONS
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Credential | MD
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Telephone | 704-295-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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