MEDICARE: RONNIE PRYOR GILL

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
1	237700000X	Hearing Instrument Specialist	1294	NC

General Provider Information

NPI Number	:	1508250333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONNIE PRYOR GILL

Provider Business Mailing Address
First Line	:	PO BOX 58383
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27658-8383
Country	:	US
Telephone Number	:	704-747-7611
Fax Number	:

Provider Business Practice Location Address
First Line	:	6675 FALLS OF NEUSE RD STE 117
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27615-6803
Country	:	US
Telephone Number	:	704-747-7611
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/18/2015
Last Update Date	:	03/18/2015

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Directions to “ RONNIE PRYOR GILL ” Practice Location

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