Healthcare Provider Details

I. General information

NPI: 1881752525
Provider Name (Legal Business Name): CAROLINAHEARINGGROUPINC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4206 N ROXBORO ST UNIT 110
DURHAM NC
27704-1826
US

IV. Provider business mailing address

2301 REXWOODS DR 100A
RALEIGH NC
27607-3366
US

V. Phone/Fax

Practice location:
  • Phone: 919-477-2040
  • Fax: 919-477-2049
Mailing address:
  • Phone: 919-782-7112
  • Fax: 919-789-9560

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. BRAD W BALDWIN
Title or Position: OWNER
Credential: AU.D.
Phone: 919-782-7112