Healthcare Provider Details

I. General information

NPI: 1407159825
Provider Name (Legal Business Name): RALEIGH HEARING AND TINNITUS CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2010
Last Update Date: 10/04/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10320 DURANT RD STE 107
RALEIGH NC
27614-6466
US

IV. Provider business mailing address

10320 DURANT RD STE 107
RALEIGH NC
27614-6466
US

V. Phone/Fax

Practice location:
  • Phone: 919-790-8889
  • Fax: 919-421-8804
Mailing address:
  • Phone: 919-790-8889
  • Fax: 919-421-8804

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. SHERI A MELLO
Title or Position: AUDIOLOGIST
Credential: AUD
Phone: 919-790-8889