Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

South Lake Ears Nose & Throat PA

Organization Otolaryngology Physician · NPI 1154695872

South Lake Ears Nose & Throat PA provides Otolaryngology Physician services in Huntersville, North Carolina. Licensed in North Carolina. Registered with an NPI since 2012.

Licensed in
NC
In the registry since
2012
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

9710 Sam Furr Rd Unit D
Huntersville, NC 28078-4928 Not confirmed with CMS for 14 years — call before visiting
Phone: (704) 896-1909
Fax: (704) 896-1926
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence 9701107 (NC)

Record details

NPI number1154695872
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Stan Phillips — Owner · (704) 896-1909
NPI enumeratedFebruary 27, 2012
Last updated in NPPESFebruary 27, 2012
Mailing address9710 Sam Furr Rd Unit D, Huntersville, NC 28078-4928

Other providers in Huntersville