South Lake Ears Nose & Throat Pa

Specialty details in registry · Huntersville, NC

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At a glance

9710 Sam Furr Rd Unit D, Huntersville, NC 28078-4928

NPPES record updated Feb 27, 2012. Public records can lag behind changes at a practice.

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Practice location

9710 Sam Furr Rd Unit D
Huntersville, NC 28078-4928
Professional details: NPI, taxonomy & registry record
NPI1154695872
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
207Y00000X
Enumeration date
Feb 27, 2012
Record updated
Feb 27, 2012
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

207Y00000X · Primary

License reported: 9701107 NC

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

9710 Sam Furr Rd Unit D
Huntersville, NC 28078-4928
Phone
(704) 896-1909
Fax
(704) 896-1926
Mailing address
9710 SAM FURR RD UNIT D

HUNTERSVILLE, NC 280784928
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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