Healthcare Provider Details

I. General information

NPI: 1457520934
Provider Name (Legal Business Name): AUDIOLOGY OF THE SANDHILLS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 02/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1902 N SANDHILLS BLVD SUITE K
ABERDEEN NC
28315-2382
US

IV. Provider business mailing address

1902 N SANDHILLS BLVD SUITE K
ABERDEEN NC
28315-2382
US

V. Phone/Fax

Practice location:
  • Phone: 910-692-6422
  • Fax: 910-692-3484
Mailing address:
  • Phone: 910-692-6422
  • Fax: 910-692-3484

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number872
License Number StateNC

VIII. Authorized Official

Name: VALLIE GOINS
Title or Position: SECRETARY
Credential:
Phone: 910-692-6422