Healthcare Provider Details

I. General information

NPI: 1366000796
Provider Name (Legal Business Name): AUDIOLOGY ATTENTION & TINNITUS CARE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2019
Last Update Date: 09/18/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3605 CENTERGROVE RD
CONCORD NC
28025-1515
US

IV. Provider business mailing address

3605 CENTERGROVE RD
CONCORD NC
28025-1515
US

V. Phone/Fax

Practice location:
  • Phone: 704-938-4300
  • Fax:
Mailing address:
  • Phone: 704-938-4300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: DR. JENNIFER L AUER
Title or Position: AUDIOLOGIST/OWNER
Credential: AUD
Phone: 704-938-4300