Organization Name:  MANN EAR NOSE & THROAT CLINIC PA


Practice Location:
601 KEISLER DR SUITE 200 CARY, NC 27518 US
Tel: 919-859-4744  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

Primary	Code	Category/Description	State	License Number
N	207K00000X	Physicians Allergy & Immunology
N	207YS0123X	Physicians Otolaryngology
Y	207Y00000X	Physicians Otolaryngology

Other Provider Identifiers:

Issuer	Number	State	Type
BLUE CROSS BLUE SHIELD	0161U	NC	01

Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin