Healthcare Provider Details

I. General information

NPI: 1477475564
Provider Name (Legal Business Name): ROCKY MOUNT AUDIOLOGY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4065 CAPITAL DR
ROCKY MOUNT NC
27804-3123
US

IV. Provider business mailing address

4065 CAPITAL DR
ROCKY MOUNT NC
27804-3123
US

V. Phone/Fax

Practice location:
  • Phone: 252-977-4327
  • Fax:
Mailing address:
  • Phone: 252-977-4327
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MELISSA PALMER
Title or Position: OWNER / AUTHORIZED OFFICIAL
Credential:
Phone: 252-977-4327