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NPI Code Detail

MEDICARE: LAURA H. STONE CCC-A

MEDICARE: LAURA H. STONE CCC-A
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologistA3070MS
2231H00000XAudiologist86AK
3237600000XAudiologist-Hearing Aid Fitter3907SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1063479582
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA H. STONE CCC-A
Provider Business Mailing Address
First Line : 2295 HENRY TECKLENBURG DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-7801
Country : US
Telephone Number : 843-766-7103
Fax Number : 843-576-2592
Provider Business Practice Location Address
First Line : 2295 HENRY TECKLENBURG DR
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-7801
Country : US
Telephone Number : 843-766-7103
Fax Number : 843-576-2592
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 10/07/2013

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2287 HENRY TECKLENBURG DR , SUITE 1
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Directions to “ LAURA H. STONE CCC-A” Practice Location

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