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NPI Code Detail

MEDICARE: DR. ABIGAIL MICHELE EARLIWINE A.U.D.

MEDICARE: DR. ABIGAIL MICHELE EARLIWINE A.U.D.
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
1237600000XAudiologist-Hearing Aid Fitter30002432NC
2231H00000XAudiologist30002432NC

General Provider Information

NPI Number : 1154015154
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ABIGAIL MICHELE EARLIWINE A.U.D.
Provider Business Mailing Address
First Line : 14057 US HIGHWAY 17 STE 200
Second Line :
City : HAMPSTEAD
State : NC
Zip : 28443-3793
Country : US
Telephone Number : 910-956-8700
Fax Number :
Provider Business Practice Location Address
First Line : 14057 US HIGHWAY 17 STE 200
Second Line :
City : HAMPSTEAD
State : NC
Zip : 28443-3793
Country : US
Telephone Number : 910-956-8700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/05/2023
Last Update Date : 04/21/2026

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