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Contact Information

EAR NOSE THROAT & AUDIOLOGY ASSOCIATES
744 ARDEN LN
SUITE 200
ROCK HILL, SC29732-2984
 Phone: 803-328-3686
 Fax: 803-328-9889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for EAR NOSE THROAT & AUDIOLOGY ASSOCIATES

NPI # 1366632655
LBN Legal business name EAR NOSE THROAT & AUDIOLOGY ASSOCIATES
Authorized official LEROY BROADNAX - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 08/01/2007
Last updated 08/14/2015 - About 11 years ago
Identifiers
SC Medicaid GP4146
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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