Provider Demographics
NPI:1740562875
Name:ONSLOW AMBULATORY SERVICES, INC.
Entity Type:Organization
Organization Name:ONSLOW AMBULATORY SERVICES, INC.
Other - Org Name:ONSLOW EAR NOSE & THROAT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRACTICE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LIBBY
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-577-2533
Mailing Address - Street 1:241 NEW RIVER DR
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28540-5928
Mailing Address - Country:US
Mailing Address - Phone:910-577-4767
Mailing Address - Fax:910-577-4741
Practice Address - Street 1:55 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28546-7327
Practice Address - Country:US
Practice Address - Phone:910-219-3377
Practice Address - Fax:910-219-4227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-14
Last Update Date:2022-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty