Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carolina Ear, Nose & Throat Head and Neck Surgery Center, PA

Organization Otolaryngology Physician · NPI 1407890361

Carolina Ear, Nose & Throat Head and Neck Surgery Center, PA is an Otolaryngology Physician in Mooresville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.

Licensed in
NC
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

114 Gateway Blvd Ste B
Mooresville, NC 28117-5540
Phone: (704) 658-0720
Fax: (704) 663-0382
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X (NC)
Hearing Aid Equipment Taxonomy 332S00000X

Record details

NPI number1407890361
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Willard Harrill — President · (828) 322-2183
NPI enumeratedJune 15, 2006
Last updated in NPPESOctober 1, 2010
Mailing address114 Gateway Blvd, Suite B, Mooresville, NC 28117-5540

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