MEDICARE: CAROLINA EAR & HEARING CLINIC, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CI7813	OTHER	NC	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0290P	OTHER	NC	BCBSNC

General Provider Information

NPI Number	:	1932151305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINA EAR & HEARING CLINIC, PC

Provider Business Mailing Address
First Line	:	5900 SIX FORKS RD
Second Line	:	SUITE 200
City	:	RALEIGH
State	:	NC
Zip	:	27609-3838
Country	:	US
Telephone Number	:	919-876-4327
Fax Number	:	919-876-6800

Provider Business Practice Location Address
First Line	:	5900 SIX FORKS RD
Second Line	:	SUITE 200
City	:	RALEIGH
State	:	NC
Zip	:	27609-3838
Country	:	US
Telephone Number	:	919-876-4327
Fax Number	:	919-876-6800

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JOHN THOMAS MCELVEEN JR.
Credential	:	M.D.
Telephone Number	:	919-876-4327

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	01/11/2013

Similar Medicare Providers

1447259858 — DR. JOHN T MCELVEEN JR. M.D.
Practice Location Address:

5900 SIX FORKS RD , SUITE 200
RALEIGH, NC
27609-3838

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1033120035 — DR. VIRGINIA SCHREINER MD
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1184828519 — DR. SETH CAMPBELL RUMLEY D.D.S., P.A.
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5900 SIX FORKS RD , SUITE 101
RALEIGH, NC
27609-3838

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1992967608 — DR. CAMERON FRANK CAVOLA D.M.D., M.D.
Practice Location Address:

5904 SIX FORKS RD , STE 101
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1154557684 — SETH C. RUMLEY, DDS, P.A.
Practice Location Address:

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27609-3838

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1528373545 — MRS. CHRISTY HALL PARK MSN, ACNP-BC, NP-C
Practice Location Address:

5900 SIX FORKS RD , SUITE 200
RALEIGH, NC
27609-3838

Practice Phone: 919-876-4327
Practice Fax: 919-876-6800

Directions to “CAROLINA EAR & HEARING CLINIC, PC ” Practice Location

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