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

Salem Pediatric Ear and Airway Center, PLLC

Organization Pediatric Otolaryngology Physician · NPI 1588025381

Salem Pediatric Ear and Airway Center, PLLC is a Pediatric Otolaryngology Physician in Winston Salem, North Carolina. Licensed in North Carolina. Registered with an NPI since 2016.

Licensed in
NC
In the registry since
2016
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

615 Saint George Square Ct Ste 364
Winston Salem, NC 27103-1356
Phone: (336) 245-4972
Fax: (336) 450-1676
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Otolaryngology Physician (primary) Taxonomy 207YP0228X · Licence 2006-00303 (NC)

Record details

NPI number1588025381
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Adele Evans — Member Manager · (919) 699-2269
NPI enumeratedMarch 8, 2016
Last updated in NPPESMarch 8, 2016
Mailing address615 Saint George Square Ct, Suite 364, Winston Salem, NC 27103-1356

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