OrganizationActive
Ear Nose Throat and Audiology Associates
NPI 1902043185 · Plastic Surgery within the Head & Neck (Otolaryngology) Physician · Union, SC
Provider details
- NPI number
- 1902043185
- Entity type
- Organization
- Primary specialty
- Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Leroy Broadnax, Office Manager(704) 544-6533
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
327 W South St
Union, SC 29379-2838
Phone: (864) 429-0115
Fax: (864) 429-0271
Approximate (ZIP-level) locationGet directions
Mailing address
8318 Pineville Matthews Rd
Charlotte, NC 28226-4753
Registry dates
- Enumerated
- 2009-01-09
- Last updated
- 2009-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.