Provider Demographics
NPI:1356303507
Name:ASHEVILLE EAR NOSE AND THROAT SURGEONS, PA
Entity Type:Organization
Organization Name:ASHEVILLE EAR NOSE AND THROAT SURGEONS, PA
Other - Org Name:ASHEVILLE EAR NOSE AND THROAT SURGEONS, PA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELBY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:FENDER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-254-3517
Mailing Address - Street 1:1065 HENDERSONVILLE ROAD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1801
Mailing Address - Country:US
Mailing Address - Phone:828-254-3517
Mailing Address - Fax:828-253-6960
Practice Address - Street 1:1065 HENDERSONVILLE ROAD
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1801
Practice Address - Country:US
Practice Address - Phone:828-254-3517
Practice Address - Fax:828-253-6960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-04
Last Update Date:2021-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty