Healthcare Provider Details

I. General information

NPI: 1205627528
Provider Name (Legal Business Name): ANEW HEARING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

824 GUM BRANCH RD STE C
JACKSONVILLE NC
28540-6269
US

IV. Provider business mailing address

824 GUM BRANCH RD STE C
JACKSONVILLE NC
28540-6269
US

V. Phone/Fax

Practice location:
  • Phone: 910-353-4327
  • Fax: 910-353-4327
Mailing address:
  • Phone: 910-353-4327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: SUMMER ROSE BUTRICO
Title or Position: OWNER
Credential:
Phone: 910-353-4327