Healthcare Provider Details

I. General information

NPI: 1336544519
Provider Name (Legal Business Name): TVS HEARING OF SOUTH CHARLOTTE, LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2014
Last Update Date: 11/03/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8334 PINEVILLE MATTHEWS RD STE 102
CHARLOTTE NC
28226-3774
US

IV. Provider business mailing address

109 CIRCLE DR
DARLINGTON SC
29532-2505
US

V. Phone/Fax

Practice location:
  • Phone: 704-496-9814
  • Fax: 704-496-9815
Mailing address:
  • Phone: 704-496-9814
  • Fax: 704-496-9815

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number
License Number State

VIII. Authorized Official

Name: TERRY JOSEY
Title or Position: OWNER
Credential:
Phone: 704-496-9814