OrganizationActive
Genesis Ent & Plastic Surgery, PLLC
NPI 1366484958 · Otolaryngology/Facial Plastic Surgery Physician · Charlotte, NC
Provider details
- NPI number
- 1366484958
- Entity type
- Organization
- Primary specialty
- Otolaryngology/Facial Plastic Surgery PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Henry Ford, Administrator(704) 544-1300
- License
- 9700531 (NC)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
14835 John J Delaney Dr
Suite 210
Charlotte, NC 28277-2738
Phone: (704) 544-1300
Fax: (704) 544-2765
Approximate (ZIP-level) locationGet directions
Mailing address
14835 John J Delaney Dr
Charlotte, NC 28277-2738
Registry dates
- Enumerated
- 2006-06-11
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.