Healthcare Provider Details

I. General information

NPI: 1518494087
Provider Name (Legal Business Name): HEAR CAROLINA AUDIOLOGY ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/16/2017
Last Update Date: 06/18/2024
Certification Date: 06/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4310 LUDGATE ST STE A
LUMBERTON NC
28358-2472
US

IV. Provider business mailing address

4108 VANN DR
LUMBERTON NC
28358-2459
US

V. Phone/Fax

Practice location:
  • Phone: 910-370-0118
  • Fax:
Mailing address:
  • Phone: 318-243-2611
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number9726
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number9726
License Number StateNC

VIII. Authorized Official

Name: BRITTANY S BROWN
Title or Position: OWNER
Credential: AUD
Phone: 910-370-0118