Provider Demographics
NPI:1992316764
Name:CAROLINA PINES EAR NOSE THROAT & ALLERGY ASSOCIATES LLC
Entity type:Organization
Organization Name:CAROLINA PINES EAR NOSE THROAT & ALLERGY ASSOCIATES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, OTOLARYNGOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WAYNE
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HARSHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-630-5353
Mailing Address - Street 1:PO BOX 66
Mailing Address - Street 2:
Mailing Address - City:NEWBERRY
Mailing Address - State:SC
Mailing Address - Zip Code:29108-0066
Mailing Address - Country:US
Mailing Address - Phone:803-630-5353
Mailing Address - Fax:803-630-5343
Practice Address - Street 1:2562 KINARD ST
Practice Address - Street 2:
Practice Address - City:NEWBERRY
Practice Address - State:SC
Practice Address - Zip Code:29108-2910
Practice Address - Country:US
Practice Address - Phone:803-630-5353
Practice Address - Fax:803-630-5343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty