Healthcare Provider Details

I. General information

NPI: 1942526462
Provider Name (Legal Business Name): AREA HEARING CENTER, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/08/2010
Last Update Date: 06/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

857 S BECKFORD DR SUITE H
HENDERSON NC
27536-3486
US

IV. Provider business mailing address

857 S BECKFORD DR SUITE H
HENDERSON NC
27536-3486
US

V. Phone/Fax

Practice location:
  • Phone: 252-430-7744
  • Fax: 252-430-0917
Mailing address:
  • Phone: 252-430-7744
  • Fax: 252-430-0917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number4578
License Number StateNC

VIII. Authorized Official

Name: DR. LARA ROYSTER GRAY
Title or Position: AUDIOLOGIST/MEMBER/MANAGER
Credential: AU.D.
Phone: 252-430-7744