Healthcare Provider Details

I. General information

NPI: 1891809364
Provider Name (Legal Business Name): HEARING AND BALANCE CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 04/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 CARMEL FOREST DR
CHARLOTTE NC
28226-8115
US

IV. Provider business mailing address

3601 CARMEL FOREST DR.
CHARLOTTE NC
28226-8115
US

V. Phone/Fax

Practice location:
  • Phone: 704-846-2911
  • Fax:
Mailing address:
  • Phone: 704-542-3339
  • Fax: 704-846-2911

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA SEABORG
Title or Position: PRACTITIONER
Credential: AUD
Phone: 704-542-3339