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Contact Information

EASTERN ENT SINUS AND ALLERGY CENTER, PA
2707 MEDICAL OFFICE PL
GOLDSBORO, NC27534-9458
 Phone: 919-735-9146
 Fax: 919-735-0582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
 

Otolaryngic Allergy

207YX0602X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for EASTERN ENT SINUS AND ALLERGY CENTER, PA

NPI # 1336185842
LBN Legal business name EASTERN ENT SINUS AND ALLERGY CENTER, PA
Authorized official DAWN MCCULLEN - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 06/22/2006
Last updated 02/08/2010 - About 16 years ago
Identifiers
NC Medicaid 8901642
NC Other 01642 BCBSNC
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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