Mt. Airy Ent-Head & Neck Surgery Audiology
LBN: Wilkes Ent& Audiology, Pllc
Mt. Airy Ent-Head & Neck Surgery Audiology is an health care organization with primary practice located at 708 S South St Ste 300 , Mount Airy NC 27030-4589. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Otolaryngology is the primary health care specialty.
Wilkes Ent& Audiology, Pllc can be contacted via phone (336) 838-7758, or through Ellis, M Barry via phone (336) 673-3125.
Contact Information
Primary practice address
708 S South St Ste 300
Mount Airy NC 27030-4589
Phone: (336) 838-7758
Fax: (336) 838-7758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ||
| Allopathic & Osteopathic Physicians / Surgery | 208600000X |
Profile Details
| NPI number | 1720025851 |
|---|---|
| LBN Legal business name | Wilkes Ent& Audiology, Pllc |
| DBA Doing business as | Mt. Airy Ent-Head & Neck Surgery Audiology |
| Authorized official | Ellis, M Barry Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 31st, 2006 |
| Last updated | Jan 6th, 2020 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720025851 | NPPES |
| North Carolina | MEDICAID | 890115W | |
| North Carolina | Other | CC6285 |
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